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MOUNTAIN MEDICAL TRANSPORT LLC
NPI 1649512815
Ambulance - Land Transport in Cleveland, GA

Active since March 26, 2013CLIA 11D2197859 · Waiver
5282 HIGHWAY 129 SOUTH, CLEVELAND, GA 30528(706) 489-9199 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain Medical Transport Llc NPPES

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

MOUNTAIN MEDICAL TRANSPORT LLC (NPI 1649512815) is a healthcare organization registered as a land transport in Cleveland, Georgia and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Zachary Philyaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649512815
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMOUNTAIN MEDICAL TRANSPORT LLC
Location Address5282 HIGHWAY 129 SOUTHCleveland, GA 30528-6761
Mailing AddressPo Box 1792Cleveland, GA 30528-0033 · (706) 489-9199
Phone(706) 489-9199
Organization SubpartNo
Authorized OfficialZachary PhilyawCeo · (706) 489-9199
Enumeration DateMarch 26, 2013
Last NPPES UpdateApril 27, 2015
✔ NPI 1649512815 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 · 154-04
5282 HIGHWAY 129 SOUTH, Cleveland, GA 30528
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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 11D2197859

Mountain Medical Transport, LLC · Cleveland, GA
Active · expires Oct 27, 2026
CLIA Number11D2197859
Laboratory TypeAmbulance
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorJoshua A. Hall
Laboratory Phone(706) 489-9199
Laboratory LocationMountain Medical Transport, LLC28 Industrial Boulevard, Cleveland, GA 30528
CLIA data matches this NPI record on: 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.
78,448 services39 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.
5,019 services39 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 Mountain Medical Transport LLC's NPI number?

The NPI number for Mountain Medical Transport LLC is 1649512815. It was assigned to this organization in the NPPES registry on March 26, 2013.

Where is Mountain Medical Transport LLC located?

Mountain Medical Transport LLC is located at 5282 Highway 129 South, Cleveland, GA 30528. The listed phone number is (706) 489-9199.

What is Mountain Medical Transport LLC's specialty?

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

Does Mountain Medical Transport LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2197859) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain Medical Transport LLC was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.