Provider Demographics
NPI:1548056765
Name:MEGGS, VYSHONN JAHEIM
Entity type:Individual
Prefix:
First Name:VYSHONN
Middle Name:JAHEIM
Last Name:MEGGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 W ERIN AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7445
Mailing Address - Country:US
Mailing Address - Phone:504-618-9295
Mailing Address - Fax:
Practice Address - Street 1:5010 W ERIN AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-7445
Practice Address - Country:US
Practice Address - Phone:504-618-9295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA012034987343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)