Active NPI
Expedited Medical Services, LLC
- Land Ambulance
- Tullahoma, TN
National Provider Identifier
1043742802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- EXPEDITED MEDICAL SERVICES, LLC
- Practice address
- 102 William Northern Blvd
Tullahoma, TN 37388-4765 - Phone
- (931) 308-9356
- Fax
- (931) 691-9933
- NPI assigned
- Mar 31, 2017
- 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
- Mr. John Marsee
- Title
- President
- Phone
- (931) 308-9356
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | 000896750 | TN |
Addresses
Primary practice location
102 William Northern Blvd
Tullahoma, TN 37388-4765
Mailing address
362 Jess Frazier LN
Manchester, TN 37355-4187
Phone (931) 308-9356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180724001377 | TN | Part B Supplier - Ambulance Service Supplier | 6507113487 | Practice locations: Tullahoma, TN |
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 |
|---|---|---|---|
| 44D2147928 | Expedited Medical Services, LLC | Certificate of waiver | Apr 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
102 William Northern Blvd
Tullahoma, TN 37388
Phone (931) 308-9356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1043742802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 JESS FRAZIER LN",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373554187",
"telephone_number": "931-308-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WILLIAM NORTHERN BLVD",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373884765",
"telephone_number": "931-308-9356",
"fax_number": "931-691-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPEDITED MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-31",
"last_updated": "2018-09-27",
"status": "A",
"authorized_official_last_name": "MARSEE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-308-9356",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TN",
"license": "000896750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.