MED-TRAK LLC NPI 1689286866

NPI Information

  • NPI: 1689286866
  • Provider Name: MED-TRAK LLC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 11D2265467
  • Address: 2395 WALL ST SE STE 195
    CONYERS, GA
    ZIP 30013
  • Phone: (770) 875-8461

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NPI Details

MED-TRAK LLC is a land transport ambulance in Conyers, GA. MED-TRAK LLC NPI is 1689286866. The provider is registered as an organization entity type.

The provider's business location address is:

2395 WALL ST SE STE 195
CONYERS, GA
ZIP 30013-703
Phone: (770) 875-8461

The provider's authorized official is Thomas Fields .
The authorized official title is Ceo and has the following contact phone number (770) 875-8461.

The CLIA number assigned to this NPI record is 11D2265467 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)

The enumeration date for this NPI number is 8/19/2020 and was last updated on 8/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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