PROFESSIONAL HEALTH ACCESS LLC (NPI# 1376190694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376190694 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HEALTH ACCESS LLC |
| Practice Address |
3070 Highway 138 Sw Fayetteville GA 30214-5418 |
| Practice Telephone | 6788691515 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | KAREN COLE (DIRECTOR) |
| Authorized Official Telephone | 6785233792 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
3070 HIGHWAY 138 SW |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1336759174 | Ozark Mobility Nemt, LLC. | Non-emergency Medical Transport (VAN) | 2863 N Old Missouri Rd Ste 105a, Fayetteville, AR 72703-3777 | 2020-08-06 |
| 1154931459 | Lenward Buie | Non-emergency Medical Transport (VAN) | 410 Lionshead Rd, Fayetteville, NC 28311-1356 | 2020-08-03 |
| 1376180901 | Ml Allen Trucking LLC | Non-emergency Medical Transport (VAN) | 2703 Rosehill Rd, Fayetteville, NC 28301-2513 | 2019-12-02 |
| 1740741784 | Jenny & Marv's Transportation Angels | Non-emergency Medical Transport (VAN) | 5007 Higgins St, Fayetteville, NC 28303-3529 | 2019-03-30 |
| 1487110052 | Tnt Transportation LLC | Non-emergency Medical Transport (VAN) | 518 N Cato Springs Rd, Fayetteville, AR 72701-8866 | 2019-02-19 |
| 1063951713 | Circle One Investments LLC | Non-emergency Medical Transport (VAN) | 5490 Robmont Dr, Fayetteville, NC 28306-2673 | 2017-02-14 |
| 1629439450 | Dlk Prime Transport LLC | Non-emergency Medical Transport (VAN) | 1908 Harcourt Cir, Apt 104, Fayetteville, NC 28304-0437 | 2016-03-07 |
| 1588031348 | Arrive On Time Transportation | Non-emergency Medical Transport (VAN) | 145 Magmar Ln, Fayetteville, GA 30214-7208 | 2015-08-27 |
| 1568849032 | E Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 500 Lanier Ave W Ste 908, Fayetteville, GA 30214-7641 | 2015-05-04 |
| 1275942914 | Andrew Williams | Non-emergency Medical Transport (VAN) | 192 Olympic Dr, Fayetteville, GA 30215-6663 | 2014-08-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on PROFESSIONAL HEALTH ACCESS LLC.
| 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.