1. Home
  2. Directory
  3. Georgia
  4. Forest Park
  5. Ambulance
  6. NPI Profile

GA PEACH MEDICAL TRANSPORTATION, LLC
NPI 1548747173
Ambulance - Land Transport in Forest Park, GA

Active since July 26, 2018CLIA 11D2259738 · Waiver
5023 HIGHWAY 85, FOREST PARK, GA 30297(678) 705-8076(678) 705-8079 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ga Peach Medical Transportation, Llc NPPES

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

GA PEACH MEDICAL TRANSPORTATION, LLC (NPI 1548747173) is a healthcare organization registered as a land transport in Forest Park, Georgia and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Dennis Tyrone Middlebrooks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548747173
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameGA PEACH MEDICAL TRANSPORTATION, LLC
Location Address5023 HIGHWAY 85Forest Park, GA 30297
Mailing Address5023 Ga Highway 85Forest Park, GA 30297-2431 · (678) 705-8076 · Fax (678) 705-8079
Phone(678) 705-8076
Fax(678) 705-8079
Organization SubpartNo
Authorized OfficialDennis Tyrone MiddlebrooksCeo · (678) 705-8076
Enumeration DateJuly 26, 2018
✔ NPI 1548747173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
5023 HIGHWAY 85, Forest Park, GA 30297
Open in Google Maps ↗

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 11D2259738

Ga Peach Medical Transportation, LLC · Jonesboro, GA
Active · expires May 10, 2028
CLIA Number11D2259738
Laboratory TypeAmbulance
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorDennis Middlebrooks
Laboratory Phone(678) 705-8076
Laboratory LocationGa Peach Medical Transportation, LLC409 Arrowhead Boulevard, Suite A 114, Jonesboro, GA 30236
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ga Peach Medical Transportation, LLC's NPI number?

The NPI number for Ga Peach Medical Transportation, LLC is 1548747173. It was assigned to this organization in the NPPES registry on July 26, 2018.

Where is Ga Peach Medical Transportation, LLC located?

Ga Peach Medical Transportation, LLC is located at 5023 Highway 85, Forest Park, GA 30297. The listed phone number is (678) 705-8076.

What is Ga Peach Medical Transportation, LLC's specialty?

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

Does Ga Peach Medical Transportation, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2259738) is associated with this NPI, valid through May 10, 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 Ga Peach Medical Transportation, LLC was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.