CORE CARE MEDICAL TRANSPORT, LLC (NPI# 1578071395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578071395 |
| Entity Type | Organization |
| Organization Name | CORE CARE MEDICAL TRANSPORT, LLC |
| Other Organization Name | CORE CARE MEDICAL TRANSPORT |
| Practice Address |
1316 Lakewood Ave Se # G-4 Atlanta GA 30315-2313 |
| Mailing Address |
2611 Wellington Dr Albany GA 31721-1549 |
| Practice Telephone | 7707769956 |
| Practice Fax Number | 7707769956 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | VICTORIA MEADOWS (OWNER) |
| Authorized Official Telephone | 7707769956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
GA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Core Care Medical Transport | Doing Business As Name - Organization |
| Street Address |
1316 LAKEWOOD AVE SE # G-4 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| 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 |
|---|---|---|---|---|
| 1508479502 | Alliance Transportation Services | Ambulance | 247 Carlyle Park Dr Ne, Atlanta, GA 30307-2883 | 2020-08-28 |
| 1881162451 | Skyline Ems LLC | Ambulance | 2615 Shallowford Rd Ne, Atlanta, GA 30345-1203 | 2018-11-13 |
| 1497249296 | Careway Ems Inc | Ambulance | 2302 Parklake Dr Ne Ste 514, Atlanta, GA 30345-2896 | 2018-06-15 |
| 1427562479 | Supreme Medical Transportation LLC | Ambulance | 5241 W Fayetteville Rd Ste A, Atlanta, GA 30349-5413 | 2017-11-29 |
| 1164966164 | Grady Ems LLC | Ambulance | 745 Memorial Dr Se, Atlanta, GA 30316-1185 | 2016-12-09 |
| 1952679748 | The City of Atlanta | Ambulance | 6000 N Terminal Pkwy, Atrium Suite 435, Atlanta, GA 30320-7400 | 2011-12-07 |
| 1891966578 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Drive Se, Box 26042, Atlanta, GA 30303-3050 | 2008-03-20 |
| 1205992468 | Capital Ems Inc | Ambulance | 2033 Metropolitan Pkwy Sw, Suite B, Atlanta, GA 30315-5929 | 2006-12-29 |
| 1427081215 | City of Atlanta | Ambulance | 315 Buckner, Atlanta, TX 75551-2238 | 2006-07-08 |
| 1982649877 | Medstat Emergency Medical Services, Inc. | Ambulance | 2975 Metropolitan Pkwy Sw, Suite A, Atlanta, GA 30315-7917 | 2006-06-17 |
| Find all providers in ATLANTA | ||||
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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.