MEDICARE: MEDLIFE 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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1972447530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDLIFE MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	3165 DOGWOOD DR UNIT 102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-1195
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3165 DOGWOOD DR UNIT 102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-1195
Country	:	US
Telephone Number	:	310-901-2040
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIKAL GRAY
Credential	:
Telephone Number	:	310-901-2040

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

Similar Medicare Providers

1639572803 — DIRECT APPROACH COMMUNITY SUPPORT
Practice Location Address:

1195 MILTON TER SE APT 1303
ATLANTA, GA
30315-2426

Practice Phone: 404-358-2842
Practice Fax:

1417355165 — MICHAEL HEADLEY
Practice Location Address:

1195 MILTON TER SE APT 1303
ATLANTA, GA
30315-2426

Practice Phone: 336-655-5370
Practice Fax:

1396132783 — SPINEALIGN CENTERS OF ATLANTA
Practice Location Address:

1195 FAIRBURN RD SW , SUITE 150
ATLANTA, GA
30331-2150

Practice Phone: 678-974-5462
Practice Fax:

1609312206 — CARLIE SHERMAN LAPC, NCC
Practice Location Address:

1195 CAHABA DR SW
ATLANTA, GA
30311-2711

Practice Phone: 404-923-0823
Practice Fax:

1497268494 — SPINEALIGN CENTER LLC
Practice Location Address:

1195 FAIRBURN RD SW
ATLANTA, GA
30331-2150

Practice Phone: 678-974-5462
Practice Fax:

1780141192 — AFIYA BURSON PHD, LPC, NCC
Practice Location Address:

1195 MILTON TER SE APT 5403
ATLANTA, GA
30315-2433

Practice Phone: 513-708-9204
Practice Fax:

Directions to “MEDLIFE MEDICAL TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.