Tricare Ambulance Service L.L.C.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRICARE AMBULANCE SERVICE L.L.C.

Practice address

172 Pine Hollow LN
Alma, GA 31510

Phone

(888) 388-7422

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Eli Sasha Hayes

Title

Managing Partner

Phone

(912) 282-8657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1043875586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PINE HOLLOW LN",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "31510",
            "telephone_number": "888-388-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PINE HOLLOW LN",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "31510",
            "telephone_number": "888-388-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE AMBULANCE SERVICE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "SASHA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "912-282-8657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Anesthesia for Everyone of Georgia, P.C.
• Heidi Nicole Taylor, R.D., L.D.
• The Medicine Cabinet of Alma, LLC.
• Hailey Tillman, DC
• Laura Toler, PHARMD
• Brittany Turner, PMHNP-BC
• Unison Behavioral Health
• Unison Behavioral Health
• Unison Behavioral Health
• Allen Michael Vergen, DMD

• All providers in Alma, GA
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.