MEDICARE: SUMMIT TRANSIT GROUP 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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1881527471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT TRANSIT GROUP LLC

Provider Business Mailing Address
First Line	:	2115 CONTEMPORARY PL APT 9107
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-6754
Country	:	US
Telephone Number	:	980-259-0070
Fax Number	:

Provider Business Practice Location Address
First Line	:	5960 FAIRVIEW RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3102
Country	:	US
Telephone Number	:	980-438-0605
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARRYL CANTY
Credential	:
Telephone Number	:	980-438-0605

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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