SQUARE ONE MEDICAL TRANSPORT LLC (NPI# 1144793381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144793381 |
| Entity Type | Organization |
| Organization Name | SQUARE ONE MEDICAL TRANSPORT LLC |
| Practice Address |
2090 Red Haven Dr Thomson GA 30824-4741 |
| Practice Telephone | 7066998045 |
| Mailing Telephone | 7066998045 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | CHRISTOPHER PALMER (OWNER/OPERATIONS MANAGER) |
| Authorized Official Telephone | 7066998045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SQUARE ONE MEDICAL TRANSPORT LLC | 905 White Oak Rd, Thomson, GA 30824-3907 |
| Street Address |
2090 RED HAVEN DR |
| City | THOMSON |
| State | GA |
| Zip Code | 30824-4741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194839 | Christopher Alan Palmer | Contractor | 2090 Red Haven Dr, Thomson, GA 30824-4741 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1750878039 | Amber Nichole Wood | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, 1st Floor, Staten Island, NY 30824 | 2018-04-22 |
| 1861854176 | Family Care Group of Thomson,inc | Family Medicine | 2508 University Dr, Thomson, GA 30824 | 2016-03-25 |
| 1174900674 | Carolyn Louise Samuels | Behavioral Analyst | 1139 Washington Rd, Thomson, GA 30824 | 2015-05-04 |
| 1013343953 | David Carroll Hughes | Dentist | 540 West Hill St., Thomson, GA 30824 | 2013-09-24 |
| 1295067270 | Wesley Alan Mccarthy | Counselor | 114 East Hall Street, Thompson, GA 30824 | 2010-02-02 |
| 1417280439 | Charles Edward Jones | Counselor | 114 East Hall St, Thomson, GA 30824 | 2009-09-09 |
| 1700055779 | Drs Jopling and Brunson | Dentist | 115 Gordon Street, Thomson, GA 30824 | 2008-02-25 |
| 1871630483 | Robert F. Polglase | Emergency Medicine | 521 Hill St, S.w., Thomson, GA 30824 | 2007-01-31 |
| 1861553141 | The Homeplace Adult Daycare, Inc. | Custodial Care Facility | 1324 Wrightsboro Road, Thomson, GA 30824 | 2006-12-12 |
| Find all providers in zip 30824 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1114525144 | Trinity Nemt LLC | Non-emergency Medical Transport (VAN) | 1546 Scott Rd, Eastanollee, GA 30538-3374 | 2020-10-12 |
| 1487252623 | Mr. Teague & Associates LLC | Non-emergency Medical Transport (VAN) | 4426 Central Church Rd, Douglasville, GA 30135-2762 | 2020-10-10 |
| 1306443775 | Hrj Essentials, LLC | Non-emergency Medical Transport (VAN) | 2690 Cobb Pkwy Se Ste A5-598, Smyrna, GA 30080-3001 | 2020-10-07 |
| 1801401955 | Dexter T Myrick | Non-emergency Medical Transport (VAN) | 158 Hopewell Church Rd Nw, Milledgeville, GA 31061-9743 | 2020-09-14 |
| 1417562190 | Alpine Transportation | Non-emergency Medical Transport (VAN) | 3009 Rainbow Dr Ste 139i, Decatur, GA 30034-1879 | 2020-09-10 |
| 1316551963 | Rsvp Assured Trans, LLC. | Non-emergency Medical Transport (VAN) | 1000 Shadix Industrial Way, Douglasville, GA 30134-3956 | 2020-09-01 |
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1104448950 | Latarsha Moneek White | Non-emergency Medical Transport (VAN) | 3611 Cromwell Dr, Hephzibah, GA 30815-6210 | 2020-05-15 |
| 1477175495 | Cpt Services LLC | Non-emergency Medical Transport (VAN) | 5628 Rice Ct, Ellenwood, GA 30294-3879 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.