MR. LOGAN TEAL NRP
NPI 1700777620
Emergency Medical Technician, Paramedic in Villa Rica, GA

Active since July 10, 2025
619 HERRELL RD, VILLA RICA, GA 30180(770) 527-3729 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Logan Teal Nrp NPPES

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

MR. LOGAN TEAL NRP (NPI 1700777620) is an individual emergency medical technician, paramedic in Villa Rica, Georgia, licensed in Georgia (P033707) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1700777620
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameMR. LOGAN TEALCredential: NRP
Location Address619 HERRELL RDVilla Rica, GA 30180-4544
Mailing Address619 Herrell RdVilla Rica, GA 30180-4544 · (770) 527-3729
Sole ProprietorYes
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
NPI 1700777620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License Licensed in GA · P033707
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
619 HERRELL RD, Villa Rica, GA 30180

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Infusion Therapy)
619 HERRELL RD
VILLA RICA, GA 30180
Registered Nurse (Emergency)
619 HERRELL RD
VILLA RICA, GA 30180

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 Logan Teal's NPI number?

The NPI number for Logan Teal is 1700777620. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Logan Teal located?

Logan Teal practices at 619 Herrell Rd, Villa Rica, GA 30180. The listed phone number is (770) 527-3729.

What is Logan Teal's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Logan Teal was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.