Healthcare Provider Details

I. General information

NPI: 1376474965
Provider Name (Legal Business Name): BURRIS MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 OAK ST SW
ATLANTA GA
30310-1959
US

IV. Provider business mailing address

898 OAK ST SW UNIT 3425
ATLANTA GA
30310-1974
US

V. Phone/Fax

Practice location:
  • Phone: 678-850-3509
  • Fax: 678-850-3509
Mailing address:
  • Phone: 678-850-3509
  • Fax: 678-850-3509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NIJAH BURRIS
Title or Position: FAMILY AND AESTHETIC MEDICINE
Credential: MD
Phone: 678-850-3509