Healthcare Provider Details

I. General information

NPI: 1932894029
Provider Name (Legal Business Name): GEORGIA PREMIER TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 LAWRENCEVILLE SUWANEE RD STE A-2082
SUWANEE GA
30024-2600
US

IV. Provider business mailing address

2090 LAWRENCEVILLE SUWANEE RD STE A-2082
SUWANEE GA
30024-2600
US

V. Phone/Fax

Practice location:
  • Phone: 706-298-8899
  • Fax:
Mailing address:
  • Phone: 706-298-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: THESEMA DUPIGNY
Title or Position: CEO
Credential:
Phone: 706-707-8676