Organization Active NPI

Medlife Medical Transport LLC

  • Land Ambulance
  • Atlanta, GA
National Provider Identifier
1972447530
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MEDLIFE MEDICAL TRANSPORT LLC
Practice address
3165 Dogwood Dr Unit 102
Atlanta, GA 30354-1195
Phone
(310) 901-2040
NPI assigned
Apr 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mikal Gray
Title
Owner
Phone
(310) 901-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3165 Dogwood Dr Unit 102
Atlanta, GA 30354-1195

Mailing address

3165 Dogwood Dr Unit 102
Atlanta, GA 30354-1195

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1972447530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 DOGWOOD DR UNIT 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 DOGWOOD DR UNIT 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541195",
            "telephone_number": "310-901-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MIKAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-901-2040"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.