OrganizationActive
Aa Legacy
NPI 1053092924 · Private Vehicle · Greenville, NC
Provider details
- NPI number
- 1053092924
- Entity type
- Organization
- Primary specialty
- Private VehicleTransportation Services
- Organization subpart
- No
- Authorized official
- Mamie White, Owner(252) 531-9633
Specialties & taxonomies
Transportation Services
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2414 Beaver Creek Rd
Greenville, NC 27834-2016
Phone: (252) 531-9633
Street-level locationGet directions
Mailing address
2414 Beaver Creek Rd
Greenville, NC 27834-2016
Registry dates
- Enumerated
- 2023-07-25
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.