SOUTHERN NEIGHBOR MEDICAL TRANSPORT LLC
NPI 1063381267
Ambulance - Land Transport in Fayetteville, GA
About Southern Neighbor Medical Transport Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN NEIGHBOR MEDICAL TRANSPORT LLC (NPI 1063381267) is a healthcare organization registered as a land transport in Fayetteville, Georgia and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Wadood Ali, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 11D2339767
Southern Neighbor Medical Transport LLC · Fayetteville, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, GA 30214
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Neighbor Medical Transport LLC's NPI number?
The NPI number for Southern Neighbor Medical Transport LLC is 1063381267. It was assigned to this organization in the NPPES registry on November 4, 2025.
Where is Southern Neighbor Medical Transport LLC located?
Southern Neighbor Medical Transport LLC is located at 110 Habersham Dr Ste 152, Fayetteville, GA 30214. The listed phone number is (678) 682-4406.
What is Southern Neighbor Medical Transport LLC's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Does Southern Neighbor Medical Transport LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2339767) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Neighbor Medical Transport LLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Neighbor Medical Transport Llc · NPI 1063381267
Land Transport organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since November 4, 2025.
## Identity
- **NPI:** 1063381267 (Entity type: Organization)
- **Enumerated:** November 4, 2025
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Wadood Ali, OWNER
## Practice location
- **Address:** 110 HABERSHAM DR STE 152, Fayetteville, GA 30214-1381
- **Phone:** (678) 682-4406
## Record status
- **NPPES last updated:** November 5, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063381267) · Data from the CMS NPPES public registry.