MEDICARE: ANNECARE MEDICAL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1205785276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNECARE MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	6300 MILGEN RD APT 1021
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-7569
Country	:	US
Telephone Number	:	706-615-3263
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 MILGEN RD APT 1021
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-7569
Country	:	US
Telephone Number	:	706-615-3263
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARNITA WATSON
Credential	:
Telephone Number	:	706-615-3263

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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