MEDIC-PEARL, LLC (NPI# 1366802845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366802845 |
| Entity Type | Organization |
| Organization Name | MEDIC-PEARL, LLC |
| Practice Address |
1108 Charter Oak Ct Villa Rica GA 30180 |
| Practice Telephone | 6784714554 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | MS. LACHANDA D ANAGA-NWOKE (OWNER/MEMBER) |
| Authorized Official Telephone | 6784714554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDIC-PEARL, LLC | 2255 W Germann Rd. 2037, Chandler, AZ 85286-7275 |
| Street Address |
1108 CHARTER OAK CT |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| 1023281011 | Physicians Family Medicine, LLC | Clinic/Center | 209 Cooley Drive, Villa Rica, GA 30180 | 2008-04-10 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854280 | Conquest Medical Transport, LLC | Ambulance | 182 Riley Ave Ste F1, Macon, GA 31204-0777 | 2020-06-05 |
| 1184268393 | Atlanta Ems Lllp | Ambulance | 2555 Marietta Hwy Ste 205b, Canton, GA 30114-7054 | 2019-10-30 |
| 1295376838 | Luke Medical Transport LLC | Ambulance | 260 International Pkwy Ste 132, Dallas, GA 30157-5706 | 2019-10-04 |
| 1619521366 | Sure Care Ems | Ambulance | 2136 W Park Ct Bldg 2, Stone Mountain, GA 30087-3528 | 2019-07-31 |
| 1184278848 | Person To Person Transportation Service L.l.c | Ambulance | 6724 Church St Ste 3, Riverdale, GA 30274-4711 | 2019-07-30 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1699337717 | Priscilla Mark-wilson | Ambulance | 3350 Noor Way, Douglasville, GA 30135-8172 | 2019-06-29 |
| 1285194829 | Regional Ambulance Service, LLC | Ambulance | 2054 Rex Rd Ste 5c, Morrow, GA 30260-3970 | 2019-03-20 |
| 1790243814 | Randy Scott Crocker | Ambulance | 5615 Handley Blvd, Morrow, GA 30260-3919 | 2019-03-07 |
| 1114491438 | 1st Responders 2 Ems | Ambulance | 155 Westridge Pkwy Ste 113, Mcdonough, GA 30253-3050 | 2019-01-21 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on MEDIC-PEARL, 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.