TRANSPORT AMERICA AMBULANCE SERVICE LLC
NPI 1033469598
Ambulance - Land Transport in Vidalia, GA

Active since September 12, 2012CLIA 11D2267794 · Waiver
603 BROGDON ST, VIDALIA, GA 30474(902) 805-2007(912) 805-2004 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2021, Jul 1, 2020, Dec 4, 2019 and 3 more (6 updates tracked since 2019).

About Transport America Ambulance Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSPORT AMERICA AMBULANCE SERVICE LLC (NPI 1033469598) is a healthcare organization registered as a land transport in Vidalia, Georgia and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Lisa Darlene Flanagan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033469598
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameTRANSPORT AMERICA AMBULANCE SERVICE LLC
Location Address603 BROGDON STVidalia, GA 30474-6031
Mailing AddressPo Box 1872Vidalia, GA 30475-1872 · (912) 805-2006 · Fax (912) 805-2004
Fax(912) 805-2004
Organization SubpartNo
Authorized OfficialLisa Darlene FlanaganCfo · (912) 805-2006
Enumeration DateSeptember 12, 2012
Last NPPES UpdateJune 24, 20216 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1033469598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in GA · 076-02
603 BROGDON ST, Vidalia, GA 30474

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2267794

Transport America Ambulance Service LLC · Vidalia, GA
Active · expires Aug 30, 2026
CLIA Number11D2267794
Laboratory TypeAmbulance
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorSean M. Flanagan
Laboratory Phone(912) 805-2008
Laboratory LocationTransport America Ambulance Service LLC603 Brogdon Street, Vidalia, GA 30474
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, basic life support, non-emergency transport, (bls)

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

This service was performed 261 times for 205 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 4,094 times for 212 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033469598, enumerated as an "organization" on September 12, 2012.

The provider is located at 603 BROGDON ST VIDALIA, GA 30474 and the phone number is (902) 805-2007.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.