Healthcare Provider Details

I. General information

NPI: 1336056522
Provider Name (Legal Business Name): KERA'S NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 CLEARWATER CIR
PORT WENTWORTH GA
31407-3310
US

IV. Provider business mailing address

221 CLEARWATER CIR
PORT WENTWORTH GA
31407-3310
US

V. Phone/Fax

Practice location:
  • Phone: 912-790-9821
  • Fax:
Mailing address:
  • Phone: 912-790-9821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NASHAKERA LAURA PORTER
Title or Position: CEO
Credential: PORTER
Phone: 912-790-9821