Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Grace Transport LLC

Organization Private Vehicle · NPI 1629957048

Madison Grace Transport LLC is a Private Vehicle in Vicksburg, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

126 Le Fleurs Dr
Vicksburg, MS 39180-8850
Phone: (801) 618-0175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X

Record details

NPI number1629957048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Sullivan — Owner · (601) 618-0175
Other names Madison Grace Transport
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address126 Le Fleurs Dr, Vicksburg, MS 39180-8850

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