MEDICARE: T4TS TRANSPORT

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	:	1225905854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T4TS TRANSPORT

Provider Business Mailing Address
First Line	:	25 FOURWOOD CT
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30016-7838
Country	:	US
Telephone Number	:	678-964-9874
Fax Number	:

Provider Business Practice Location Address
First Line	:	8218 HAZELBRAND RD NE STE C
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-1516
Country	:	US
Telephone Number	:	678-964-9874
Fax Number	:

Authorized Official
Title or Position	:	CEO/CO-OWNER
Name	:	MRS. KISHMA WALKER-MULLIX
Credential	:
Telephone Number	:	678-923-6967

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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Directions to “T4TS TRANSPORT ” Practice Location

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