Healthcare Provider Details
I. General information
NPI: 1073448916
Provider Name (Legal Business Name): NEMT BEAMTEAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3969 SPRINGLEAF PT
STONE MOUNTAIN GA
30083-4678
US
IV. Provider business mailing address
8735 DUNWOODY PL
SANDY SPRINGS GA
30350-2995
US
V. Phone/Fax
- Phone: 404-396-1718
- Fax:
- Phone: 404-396-1718
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EDDIE
L.
WILLIAMS
JR.
Title or Position: CEO
Credential: OWNER
Phone: 404-396-1718