MR. KEAYMONDA HOLLIS (NPI# 1811559982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811559982 |
| Entity Type | Individual |
| Full Name | MR. KEAYMONDA HOLLIS |
| Practice Address |
112 Loblolly Ln Albany GA 31721-7724 |
| Practice Telephone | 2298548418 |
| Practice Fax Number | 8556260642 |
| Mailing Telephone | 2298548418 |
| Mailing Fax Number | 8556260642 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343800000X | Secured Medical Transport (VAN) | Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
112 LOBLOLLY LN |
| City | ALBANY |
| State | GA |
| Zip Code | 31721-7724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354139 | Quintavius Martin | Physical Therapy Assistant | 2933 Stonewater Drive, Albany, GA 31721 | 2019-03-05 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 2018-01-22 |
| 1336668961 | Muntaisha Shunquill Ross | Contractor | 3718 Mayfair Lane, Apt B, Albany, GA 31721 | 2017-09-14 |
| 1861942252 | Winifred Davis | Contractor | 407 Wiregrass Way, Albany, GA 31721 | 2016-10-10 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1124147608 | Jeffrey R Singleton | Dentist | 602 Pointe North Blvd., Albany, GA 31721 | 2007-03-28 |
| 1508921883 | Thomas William Monahan IIi | Dentist | 609 Pointe North Blvd, Albany, GA 31721 | 2006-12-27 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| Find all providers in zip 31721 | ||||
| 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 |
|---|---|---|---|---|
| 1083171516 | Radium Auto Sales LLC | Non-emergency Medical Transport (VAN) | 430 W Oglethorpe Blvd, Albany, GA 31701-2836 | 2019-02-20 |
| 1891274643 | Alex Perez Jr. | Non-emergency Medical Transport (VAN) | 363 Central Ave, Albany, NY 12206-2312 | 2018-08-13 |
| 1558882266 | Tlc Transportation | Non-emergency Medical Transport (VAN) | 17 Oneida Terr, Albany, NY 12209-2242 | 2017-07-03 |
| 1396266011 | 24 Seven Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 13 Beekman Street, Albany, NY 12209 | 2017-07-03 |
| 1386185908 | Teemercare Transport Services, LLC | Non-emergency Medical Transport (VAN) | 1129 Dawson Rd, Albany, GA 31707-3849 | 2017-03-15 |
| 1205374519 | Always Ready Medical Transportation Corp | Non-emergency Medical Transport (VAN) | 16 Knapp Ter, Albany, NY 12205-3124 | 2017-02-07 |
| 1780122408 | Advantage Transit Group | Non-emergency Medical Transport (VAN) | 137 Lark St, Albany, NY 12210-1429 | 2017-02-01 |
| 1336682921 | Rafael Gonzalez Jr. | Non-emergency Medical Transport (VAN) | 2038 Central Ave, Albany, NY 12205-4430 | 2016-11-30 |
| 1417372707 | B&r Medical Transport Inc | Non-emergency Medical Transport (VAN) | 3960 E Commercial Way Se, Suite B, Albany, OR 97322-7332 | 2014-02-24 |
| 1952694002 | Better Health Medical Transport | Non-emergency Medical Transport (VAN) | 337 S Main Ave, Albany, NY 12209-1115 | 2011-05-24 |
| Find all providers in ALBANY | ||||
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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.