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GEORGIA MEDPORT LLC
NPI 1619118015
Ambulance - Land Transport in Gainesville, GA

Active since March 13, 2009
1002 CHESTNUT ST SE, SUITE A, GAINESVILLE, GA 30501(770) 535-2601(770) 535-2602 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Medport Llc NPPES

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

GEORGIA MEDPORT LLC (NPI 1619118015) is a healthcare organization registered as a land transport in Gainesville, Georgia and active in the NPI registry since March 2009. The organization lists Zachary Williams Nix, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1619118015
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameGEORGIA MEDPORT LLC
Location Address1002 CHESTNUT ST SE, SUITE AGainesville, GA 30501-6909
Mailing AddressPo Box 2306Gainesville, GA 30503-2306 · (770) 535-2601 · Fax (770) 535-2602
Phone(770) 535-2601
Fax(770) 535-2602
Organization SubpartNo
Authorized OfficialZachary Williams NixCo-owner · (770) 535-2601
Enumeration DateMarch 13, 2009
Last NPPES UpdateMay 29, 2012
✔ NPI 1619118015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in GA · 069-19
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1002 CHESTNUT ST SE, Gainesville, GA 30501
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Other Identifiers 2

Medicaid003108574AGA
Other202G593924GA · Medicare

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 Georgia Medport LLC's NPI number?

The NPI number for Georgia Medport LLC is 1619118015. It was assigned to this organization in the NPPES registry on March 13, 2009.

Where is Georgia Medport LLC located?

Georgia Medport LLC is located at 1002 Chestnut St SE Suite A, Gainesville, GA 30501. The listed phone number is (770) 535-2601.

What is Georgia Medport LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Georgia Medport LLC was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.