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

Individual provider Non-emergency Medical Transport (VAN) · NPI 1912556069

Keith Backmon is a Non-emergency Medical Transport (VAN) in Rex, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

5658 Rex Ridge Loop
Rex, GA 30273-5237
Phone: (404) 849-9419
Fax: (678) 586-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence BL-001113-2019 (GA)

Record details

NPI number1912556069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing address5658 Rex Ridge Loop, Rex, GA 30273-5237

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