MEDICARE: XTRANSIT SOLUTIONS, 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)		GA

General Provider Information

NPI Number	:	1336672799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XTRANSIT SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	735 WILLOW CREEK DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-3419
Country	:	US
Telephone Number	:	770-284-6714
Fax Number	:

Provider Business Practice Location Address
First Line	:	735 WILLOW CREEK DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-3419
Country	:	US
Telephone Number	:	770-284-6714
Fax Number	:

Authorized Official
Title or Position	:	OWNER.CEO
Name	:	MRS. TINA WILKINSON
Credential	:
Telephone Number	:	202-525-8629

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	04/04/2017

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