Active NPI
Five Star Emergency Medical Services Inc
- Ambulance
- Macon, GA
National Provider Identifier
1053834473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- AMB201715
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.