Active NPI
Eastside Emergency Medical Services LLC
- Land Ambulance
- Buford, GA
National Provider Identifier
1013749100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- EASTSIDE EMERGENCY MEDICAL SERVICES LLC
- Practice address
- 5152 Belle Wood CT Ste a&B
Buford, GA 30518-5881 - Phone
- (678) 221-8478
- NPI assigned
- Aug 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Xochihua
- Title
- Owner
- Phone
- (678) 221-8478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
5152 Belle Wood CT Ste a&B
Buford, GA 30518-5881
Mailing address
5152 Belle Wood CT Ste a&B
Buford, GA 30518-5881
Phone (678) 221-8478
Other names 1
- Xzyon EMS LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241223000530 | GA | Part B Supplier - Ambulance Service Supplier | 5193252682 | Practice locations: Buford, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2305573 | Xzyon EMS LLC | Certificate of waiver | Jun 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
5152 Belle Wood Ct
Ste Ab
Buford, GA 30518
Phone (678) 221-8478
100 Paper Mill Rd
Ste 3E
Lawrenceville, GA 30046
Phone (678) 221-8478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1013749100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5152 BELLE WOOD CT STE A&B",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185881",
"telephone_number": "678-221-8478",
"fax_number": "470-241-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5152 BELLE WOOD CT STE A&B",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185881",
"telephone_number": "678-221-8478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTSIDE EMERGENCY MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "XOCHIHUA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-221-8478"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Xzyon EMS LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.