MEDICARE: PROVIDENCE TRANSPORTATION 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	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982193165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDENCE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3800 CAMP CREEK PKWY SW BLDG 1400-116
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-6045
Country	:	US
Telephone Number	:	504-418-1117
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 CAMP CREEK PKWY SW BLDG 1400-116 SUITE 2287
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-6045
Country	:	US
Telephone Number	:	800-560-0253
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DESMOND JAMAL GRIFFIN
Credential	:
Telephone Number	:	800-560-0253

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	09/28/2022

Similar Medicare Providers

1851068134 — ADVANCED PRACTICE HEALTH AND WELLNESS
Practice Location Address:

3800 CAMP CREEK PKWY SW BLDG 1400-116
ATLANTA, GA
30331-6045

Practice Phone: 229-296-4502
Practice Fax:

1902520331 — DESMOND JAMAL GRIFFIN SR.
Practice Location Address:

3800 CAMP CREEK PKWY SW BLDG 1400-116
ATLANTA, GA
30331-6045

Practice Phone: 504-418-1117
Practice Fax:

1669316063 — SABRINA CLARK
Practice Location Address:

2801 CRESCENDO DR NW
ATLANTA, GA
30318-6045

Practice Phone: 404-217-2449
Practice Fax:

1316903255 — CARMEN M KAVALI MD
Practice Location Address:

6045 BARFIELD RD , STE 100
ATLANTA, GA
30328

Practice Phone: 404-250-3333
Practice Fax: 404-250-0175

1336587401 — MARISSA B HIGHNOTE PA-C
Practice Location Address:

6045 BARFIELD RD STE 100
ATLANTA, GA
30328-4402

Practice Phone: 404-250-3333
Practice Fax: 404-250-0175

1467397323 — ANISA BIGGS DC
Practice Location Address:

2740 GREENBRIAR PKWY SW
ATLANTA, GA
30331-2627

Practice Phone: 404-629-9999
Practice Fax:

Directions to “PROVIDENCE TRANSPORTATION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.