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SOUTHERN CARE MEDICAL TRANSPORT LLC
NPI 1912471699
Ambulance - Land Transport in Forest Park, GA

Active since January 16, 2019
519 FOREST PKWY STE 240, FOREST PARK, GA 30297(404) 934-3322(678) 732-9238 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Jan 16, 2019 (2 updates tracked since 2019).

About Southern Care Medical Transport Llc NPPES

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

SOUTHERN CARE MEDICAL TRANSPORT LLC (NPI 1912471699) is a healthcare organization registered as a land transport in Forest Park, Georgia and active in the NPI registry since January 2019. The organization lists Ezra Griffith, Owner, as its authorized official.

NPPES Registry Identity

NPI1912471699
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTHERN CARE MEDICAL TRANSPORT LLC
Location Address519 FOREST PKWY STE 240Forest Park, GA 30297-6113
Mailing Address519 Forest Pkwy Ste 240Forest Park, GA 30297-6113 · (404) 934-3322 · Fax (678) 732-9238
Phone(404) 934-3322
Fax(678) 732-9238
Organization SubpartNo
Authorized OfficialEzra GriffithOwner · (404) 934-3322
Enumeration DateJanuary 16, 2019
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1912471699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
519 FOREST PKWY STE 240, Forest Park, GA 30297
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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 11D2265627

Southern Care Medical Transport · Forest Park, GA
Expired · Jul 28, 2026
CLIA Number11D2265627
Laboratory TypeAmbulance
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorEmmamuel Oluyinka Onasile
Laboratory Phone(404) 934-3322
Laboratory LocationSouthern Care Medical Transport519 Forest Parkway, Suite 240, Forest Park, GA 30297
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.
18,803 services29 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.
2,432 services29 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 Southern Care Medical Transport LLC's NPI number?

The NPI number for Southern Care Medical Transport LLC is 1912471699. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Southern Care Medical Transport LLC located?

Southern Care Medical Transport LLC is located at 519 Forest Pkwy Ste 240, Forest Park, GA 30297. The listed phone number is (404) 934-3322.

What is Southern Care Medical Transport 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 Southern Care Medical Transport LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.