MEDICARE: KS AND JS TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1528867041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KS AND JS TRANSPORT LLC

Provider Business Mailing Address
First Line	:	3100 GENTIAN BLVD STE 124
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-5670
Country	:	US
Telephone Number	:	762-342-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	8212 LANTERN CT
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-1676
Country	:	US
Telephone Number	:	229-669-8730
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JARVIS JEFFERSON
Credential	:	MBA
Telephone Number	:	229-669-8730

Provider Enumeration Date	:	03/08/2025
Last Update Date	:	07/03/2025

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Directions to “KS AND JS TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

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