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KEITH BACKMON
NPI 1912556069
Non-emergency Medical Transport (VAN) in Rex, GA

Active since September 10, 2019
5658 REX RIDGE LOOP, REX, GA 30273(404) 849-9419(678) 586-3370 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 17, 2021, Sep 10, 2019 (2 updates tracked since 2019).

About Keith Backmon NPPES

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

KEITH BACKMON (NPI 1912556069) is an individual non-emergency medical transport (van) provider in Rex, Georgia, licensed in Georgia (BL-001113-2019) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1912556069
Entity TypeIndividualMale
Primary Taxonomy343900000X
Provider Legal NameKEITH BACKMON
Location Address5658 REX RIDGE LOOPRex, GA 30273-5237
Mailing Address5658 Rex Ridge LoopRex, GA 30273-5237 · (404) 849-9419 · Fax (678) 586-3370
Phone(404) 849-9419
Fax(678) 586-3370
Sole ProprietorYes
Enumeration DateSeptember 10, 2019
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1912556069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
License✔ Licensed in GA · BL-001113-2019
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
5658 REX RIDGE LOOP, Rex, GA 30273
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Other Providers at the Same Location NPPES

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

KLB TRANSPORTATION SERVICES LLC
Ambulance
5658 REX RIDGE LOOP
REX, GA 30273
Clayton County (404) 849-9419

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 Keith Backmon's NPI number?

The NPI number for Keith Backmon is 1912556069. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Keith Backmon located?

Keith Backmon practices at 5658 Rex Ridge Loop, Rex, GA 30273. The listed phone number is (404) 849-9419.

What is Keith Backmon's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Keith Backmon was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.