Healthcare Provider Details

I. General information

NPI: 1467397125
Provider Name (Legal Business Name): ONE UP ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6495 GREENBOWER LN
ATLANTA GA
30349-4873
US

IV. Provider business mailing address

5436 RIVERDALE RD STE 125
ATLANTA GA
30349-6938
US

V. Phone/Fax

Practice location:
  • Phone: 470-423-0096
  • Fax:
Mailing address:
  • Phone: 470-423-0096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: EBONY MESSAM
Title or Position: CEO/MEMBER
Credential:
Phone: 404-645-0783