Lawrence Jerome McCoy Jr.

Non-emergency Medical Transport (VAN) in Decatur, GA. Individual provider (NPI-1).

NPI number1023904372

StatusActive

Last updated in NPPESJun 14, 2025

Details

NPI: 1023904372
Entity type: Individual (NPI-1)
Name: Lawrence Jerome McCoy Jr.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 14, 2025
Certification date: Jun 14, 2025
Last updated: Jun 14, 2025

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
343900000X	Non-emergency Medical Transport (VAN)	049154119	GA	Yes

Practice location

2311 Emerald Springs Dr
Decatur, GA 30035-2633

Phone 678-891-7508

Mailing address

2311 Emerald Springs Dr
Decatur, GA 30035-2633

Phone 678-891-7508

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Non-emergency Medical Transport (VAN) providers in Decatur, GA

All 25 Non-emergency Medical Transport (VAN) providers in Decatur · All 6,698 providers in Decatur

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