Organization Active NPI

Eastside Emergency Medical Services LLC

  • Land Ambulance
  • Buford, GA
National Provider Identifier
1013749100
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Oct 16, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223000530 GA Part B Supplier - Ambulance Service Supplier 5193252682 Practice locations: Buford, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2305573Xzyon EMS LLC5152 Belle Wood Court, Buford, GA 30518Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.