Mercy EMS, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MERCY EMS, LLC

Practice address

2121 Highway 42 N Ste C
Jenkinsburg, GA 30234-2459

Phone

(470) 251-5511

Fax

(470) 251-5513

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

James Richard Elkins

Title

Co-Owner

Phone

(470) 251-5511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1013364876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 42 N STE C",
            "city": "JENKINSBURG",
            "state": "GA",
            "postal_code": "302342459",
            "telephone_number": "470-251-5511",
            "fax_number": "470-251-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 42 N STE C",
            "city": "JENKINSBURG",
            "state": "GA",
            "postal_code": "302342459",
            "telephone_number": "470-251-5511",
            "fax_number": "470-251-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "470-251-5511"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Equilla W Brackett
• Sheena Bryant, MS, MAC, CAC II
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• Derek McKibben
• China S Oliphant
• Annette Smith, AAB,

• All providers in Jenkinsburg, GA
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.