Organization Active NPI

Medi Run

  • Ambulance
  • Warner Robins, GA
National Provider Identifier
1003706938
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MEDI RUN
Practice address
4501 Russell Pkwy Ste 18
Warner Robins, GA 31088-8680
Phone
(478) 954-0570
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Stewart Holliman
Title
Cfo
Phone
(478) 951-2356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

4501 Russell Pkwy Ste 18
Warner Robins, GA 31088-8680

Mailing address

4501 Russell Pkwy Ste 18
Warner Robins, GA 31088-8680
Phone (478) 954-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827002933 GA Part B Supplier - Ambulance Service Supplier 2264933761 Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

4501 Russell Pkwy
Ste 18
Warner Robins, GA 31088
Phone (478) 287-6585

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1003706938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 18",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888680",
            "telephone_number": "478-954-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 18",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888680",
            "telephone_number": "478-954-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI RUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "HOLLIMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-951-2356"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.