Providence Transportation LLC

Primary specialty

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

Legal business name

PROVIDENCE TRANSPORTATION LLC

Practice address

3800 Camp Creek Pkwy SW BLDG 1400-116 Suite 2287
Atlanta, GA 30331-6045

Phone

(800) 560-0253

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Desmond Jamal GriffinNPI 1902520331

Title

Owner

Phone

(800) 560-0253

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desmond Jamal Griffin Sr.

  • Non-emergency Medical Transport (VAN)
  • Atlanta, GA
  • NPI 1902520331
  NPD Authorized official

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1982193165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CAMP CREEK PKWY SW BLDG 1400-116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316045",
            "telephone_number": "504-418-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CAMP CREEK PKWY SW BLDG 1400-116 SUITE 2287",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316045",
            "telephone_number": "800-560-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Huey P Long Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "70053",
            "country_code": "US",
            "telephone_number": "504-723-9199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Clyde Fant Pkwy Ste 200 #1001",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013265",
            "country_code": "US",
            "telephone_number": "504-418-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-560-0253"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982193165",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982193165",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Foot & Ankle Centers, PC Inc
• Providence Healthcare
• Providence Healthcare Services, Inc
• Providence Home Care LLC
• Providence Medical Group, PC
• Cathleen Ann Provins, RN, ACNP-BC, PHD
• Provost Eye Group, P.C.
• Michael Provost, DC
• Kristina Prox, RDN, LD
• Lindsey Prozzillo, CPNP

• Non-emergency Medical Transport (VAN) in Atlanta, GA
• Providers in Atlanta, 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 Sep 28, 2022; 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.