Healthcare Provider Details

I. General information

NPI: 1023269321
Provider Name (Legal Business Name): TRANSCARE MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2008
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SATELLITE DR
WINDER GA
30680-6213
US

IV. Provider business mailing address

PO BOX 1957
FLOWERY BRANCH GA
30542-0033
US

V. Phone/Fax

Practice location:
  • Phone: 770-870-7083
  • Fax: 678-343-6776
Mailing address:
  • Phone: 770-870-7083
  • Fax: 678-828-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberAMB2017009
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY LYNN ACCORSI
Title or Position: GENERAL MANAGER/OWNER
Credential:
Phone: 770-870-7083