ELITE TRANSPORTATION AGENCY LLC (NPI# 1477052942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477052942 |
| Entity Type | Organization |
| Organization Name | ELITE TRANSPORTATION AGENCY LLC |
| Practice Address |
1267 Hull Rd Athens GA 30601-3914 |
| Practice Telephone | 7063661832 |
| Mailing Telephone | 7063661832 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. JERRY F STOKES (OWNER) |
| Authorized Official Telephone | 7063661832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343800000X | Secured Medical Transport (VAN) | 052890009 | GA | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELITE TRANSPORTATION AGENCY LLC | 916 Alderbrook Ct, Crown Point, IN 46307-2637 |
| Street Address |
1267 HULL RD |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 343800000X |
| Grouping | Transportation Services |
| Classification | Secured Medical Transport (VAN) |
| A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559982 | Keaymonda Hollis | Secured Medical Transport (VAN) | 112 Loblolly Ln, Albany, GA 31721-7724 | 2019-06-28 |
| 1801303946 | Delta Express Sevices Inc | Secured Medical Transport (VAN) | 245 Hembree Park Dr, Roswell, GA 30076-5702 | 2018-01-10 |
| 1609313808 | Pedro Rosario | Secured Medical Transport (VAN) | 4792 Grand Heron Ct, Norcross, GA 30092-4921 | 2017-01-25 |
| 1790234714 | Sawnee Medical Services | Secured Medical Transport (VAN) | 135 Enterprise Dr, Suite H, Cumming, GA 30040-1607 | 2016-10-03 |
| 1053749655 | Tajmah Pointer | Secured Medical Transport (VAN) | 3883 Drifting Quill, Douglasville, GA 30135-7496 | 2013-10-17 |
| 1306118708 | Thomasville Brokerage | Secured Medical Transport (VAN) | 1304 E Jackson St, Thomasville, GA 31792-4749 | 2012-01-31 |
| 1760656219 | Hyatt Group Inc. | Secured Medical Transport (VAN) | 4402 Lawrenceville Rd Ste 229, Loganville, GA 30052-6780 | 2008-04-16 |
| 1922579770 | Utransport Concierge Services Inc | Secured Medical Transport (VAN) | 4319 Covington Hwy, Suite 309, Decatur, GA 30035 | 2018-12-05 |
| 1073012241 | P & M Transportation | Secured Medical Transport (VAN) | 1572 Highway 85n, Suite 617, Fayetteville, GA 30214 | 2018-02-02 |
| 1467858068 | Augusta Abbey | Secured Medical Transport (VAN) | 101 Beckett Ln, Suite 505, Fayetteville, GA 30214-7155 | 2014-11-08 |
| Find all providers with the same taxonomy | ||||
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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.