Medical Transport

LBN: Northeast Georgia Physicians Group, Inc.
Medical Transport is an health care organization with primary practice located at 665 Lanier Park Dr , Gainesville GA 30501-2059. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Land Transport is the primary health care specialty. Northeast Georgia Physicians Group, Inc. can be contacted via phone (770) 219-0303, or through Herdener, Anthony M. via phone (770) 219-9000.

Contact Information

Primary practice address
665 Lanier Park Dr Gainesville GA 30501-2059
Fax: (770) 219-0561
Website:
Authorized official contact:
Name: Herdener, Anthony M.

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 154-03 Georgia
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Georgia

Profile Details

NPI number 1538103049
LBN Legal business name Northeast Georgia Physicians Group, Inc.
DBA Doing business as Medical Transport
Authorized official Herdener, Anthony M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jun 20th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538103049 NPPES
Georgia MEDICAID 00793625B

Popular Providers