Organization Active NPI

Five Star Emergency Medical Services Inc

  • Ambulance
  • Macon, GA
National Provider Identifier
1053834473
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
AMB201715 Issued in GA
Legal business name
FIVE STAR EMERGENCY MEDICAL SERVICES INC
Practice address
3104 Mercer University Dr
Macon, GA 31204-5109
Phone
(912) 481-7373
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Phillip Nelious Hall
Title
Owner
Phone
(478) 225-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X AMB201715 GA Primary

Addresses

Primary practice location

3104 Mercer University Dr
Macon, GA 31204-5109

Mailing address

PO Box 6435
Warner Robins, GA 31095-6435
Phone (912) 481-7373

National Provider Directory

National Provider Directory

Locations

3014 Gray Hwy
Ste 10
Macon, GA 31211
Phone (478) 225-0100

3104 Mercer University Dr
Macon, GA 31204
Phone (912) 481-7373

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053834473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6435",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956435",
            "telephone_number": "912-481-7373",
            "fax_number": "478-620-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 MERCER UNIVERSITY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045109",
            "telephone_number": "912-481-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "NELIOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-225-0100"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "AMB201715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.