Healthcare Provider Details

I. General information

NPI: 1386535102
Provider Name (Legal Business Name): MEDI RIDES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 WELCOME ALL RD SW APT C20
ATLANTA GA
30349-2575
US

IV. Provider business mailing address

5100 WELCOME ALL RD SW APT C20
ATLANTA GA
30349-2575
US

V. Phone/Fax

Practice location:
  • Phone: 404-553-4379
  • Fax:
Mailing address:
  • Phone: 678-467-4037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: TEMEKA RAY
Title or Position: MANAGER
Credential:
Phone: 404-553-4379