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PROMED TRANSPORT LLC
NPI 1285192781
Ambulance - Land Transport in Athens, GA

Active since March 04, 2019CLIA 11D2275172 · Waiver
1720 LEXINGTON RD STE B, ATHENS, GA 30605(770) 800-8007(770) 800-8004 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 6, 2023, Mar 4, 2019 (2 updates tracked since 2019).

About Promed Transport Llc NPPES

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

PROMED TRANSPORT LLC (NPI 1285192781) is a healthcare organization registered as a land transport in Athens, Georgia and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Anita L Davol, Manager Member, as its authorized official.

NPPES Registry Identity

NPI1285192781
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePROMED TRANSPORT LLC
Location Address1720 LEXINGTON RD STE BAthens, GA 30605-2330
Mailing Address182 Roosevelt BlvdCommerce, GA 30529-2131 · (727) 667-0436 · Fax (770) 814-0212
Phone(770) 800-8007
Fax(770) 800-8004
Organization SubpartNo
Authorized OfficialAnita L DavolManager Member · (727) 667-0436
Enumeration DateMarch 4, 2019
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1285192781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
1720 LEXINGTON RD STE B, Athens, GA 30605
Open in Google Maps ↗

Other Identifiers 1

Other1497298905GA · Billing

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 11D2275172

Promed Transport LLC · Athens, GA
Active · expires Jan 17, 2027
CLIA Number11D2275172
Laboratory TypeAmbulance
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorNate Davol
Laboratory Phone(770) 800-8007
Laboratory LocationPromed Transport LLC1720 Lexington Road, Suite B, Athens, GA 30605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
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.
13,459 services568 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
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.
675 services568 patients

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 Promed Transport LLC's NPI number?

The NPI number for Promed Transport LLC is 1285192781. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is Promed Transport LLC located?

Promed Transport LLC is located at 1720 Lexington Rd Ste B, Athens, GA 30605. The listed phone number is (770) 800-8007.

What is Promed Transport LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Promed Transport LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2275172) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Promed Transport LLC was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.