SAMUEL PATTERSON NPI 1699133918

NPI Information

NPI: 1699133918
Provider Name: SAMUEL PATTERSON
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
1125 CARLYSLE PARK DR
LAWRENCEVILLE, GA
ZIP 30044
Phone: (678) 467-6605
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Samuel Patterson is a non emergency medical transport van in Lawrenceville, GA. The provider is 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. Samuel Patterson NPI is 1699133918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1125 CARLYSLE PARK DR
LAWRENCEVILLE, GA
ZIP 30044-241
Phone: (678) 467-6605

The enumeration date for this NPI number is 2/1/2016 and was last updated on 2/2/2016.

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
1	171W00000X	Contractor				No
2	343900000X	Non-emergency Medical Transport (VAN)			GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1699133918	OTHER	GEORGIA	171W00000X

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: 11/14/2023

NPI Synchronization or Removal

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