GA PEACH MEDICAL TRANSPORTATION, LLC (NPI# 1548747173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548747173 |
| Entity Type | Organization |
| Organization Name | GA PEACH MEDICAL TRANSPORTATION, LLC |
| Practice Address |
5023 Highway 85 Forest Park GA 30297 |
| Mailing Address |
5023 Ga Highway 85 Forest Park GA 30297-2431 |
| Practice Telephone | 6787058076 |
| Practice Fax Number | 6787058079 |
| Mailing Telephone | 6787058076 |
| Mailing Fax Number | 6787058079 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | DENNIS TYRONE MIDDLEBROOKS (CEO) |
| Authorized Official Telephone | 6787058076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
GA | Transportation Services |
| Street Address |
5023 HIGHWAY 85 |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| 1730360264 | American Foot & Leg Specialists, P.C. | Clinic/Center | 425 Forest Pkwy Ste 103, Forest Park, GA 30297 | 2007-11-27 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205284031 | 1st Care Ambulance Service LLC | Ambulance | 531 Forest Pkwy, 240, Forest Park, GA 30297-2184 | 2016-06-02 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1487011185 | Vital Link Transport LLC | Ambulance | 5246 Jones Rd, Suite C, Forest Park, GA 30297-2609 | 2016-01-26 |
| 1255315800 | City of Forest Park | Ambulance | 4539 Jonesboro Rd, Forest Park, GA 30297-3542 | 2005-12-06 |
| 1598208084 | Joseph Emergency Medical Services Inc | Ambulance | 528 Forest Pkwy, Suite E, Forest Park, GA 30297-6109 | 2016-12-01 |
| 1922464536 | Rescue Ambulance Service, LLC | Ambulance | 526 Forest Pkwy, Suite D, Forest Park, GA 30297-6140 | 2016-01-12 |
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| 1750908372 | 1st Class Ambulance | Ambulance | 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 | 2020-06-30 |
| 1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
| 1043831241 | Health Investment Group Inc | Ambulance | 1331 Wynnton Ct, Columbus, GA 31906-2140 | 2020-04-29 |
| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on GA PEACH MEDICAL TRANSPORTATION, 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.