MEDICARE: FORTUNATE NON-EMERGENCY MEDICAL TRANSPORTATION

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	172A00000X	Driver

General Provider Information

NPI Number	:	1982555884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTUNATE NON-EMERGENCY MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2289 BAGWELL DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-6464
Country	:	US
Telephone Number	:	770-369-4333
Fax Number	:	770-369-4333

Provider Business Practice Location Address
First Line	:	2289 BAGWELL DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-6464
Country	:	US
Telephone Number	:	770-369-4333
Fax Number	:	770-369-4333

Authorized Official
Title or Position	:	OWNER
Name	:	RENILDE NDAYISHIMIYE YILU
Credential	:
Telephone Number	:	770-369-4333

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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