MEDICARE: 1ST TOUCH MEDICAL TRANSPORT, 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	:	1316805435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST TOUCH MEDICAL TRANSPORT, LLC

Provider Business Mailing Address
First Line	:	3376 BARTLETT AVE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-7503
Country	:	US
Telephone Number	:	770-706-2643
Fax Number	:

Provider Business Practice Location Address
First Line	:	3376 BARTLETT AVE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-7503
Country	:	US
Telephone Number	:	770-706-2643
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TYMEKA D FREDRICKS
Credential	:	MBA
Telephone Number	:	770-706-2643

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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