Medivan Transport, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MEDIVAN TRANSPORT, LLC

Practice address

234 N Victory Dr
Lyons, GA 30436-1036

Phone

(912) 526-0859

NPI assigned

May 22, 2012

Last updated

May 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula D Copeland

Title

Manager

Phone

(912) 526-0859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1972863181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "UVALDA",
            "state": "GA",
            "postal_code": "304730002",
            "telephone_number": "912-526-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N VICTORY DR",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304361036",
            "telephone_number": "912-526-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVAN TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-526-0859",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Kirkley
• Lyons Family Practice
• Lyons Family Practice
• Hazel E Mead, NP
• Meadows Multispecialty Associates, LLC
• Jay Mosley, RPH
• Ben B Neely, MD
• Nurses Plus II, Inc.
• Quality Health Services, Inc.
• R T Stanley Health Center LLC

• Non-emergency Medical Transport (VAN) in Lyons, GA
• Providers in Lyons, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.