Organization
PROMED TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA L DAVOL (MANAGER MEMBER)
(727) 667-0436
Entity
Organization
Contact information
Practice address
1720 LEXINGTON RD STE B, ATHENS, GA 30605-2330
(770) 800-8007
(770) 800-8004
Mailing address
182 ROOSEVELT BLVD, COMMERCE, GA 30529-2131
(727) 667-0436
(770) 814-0212
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497298905
BILLING
GA
Enumeration date
03/04/2019
Last updated
06/06/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up