Organization Active NPI

Trinity EMS LLC

  • Land Ambulance
  • McDonough, GA
National Provider Identifier
1063843597
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
075-13 Issued in GA
Legal business name
TRINITY EMS LLC
Practice address
155 Westridge Pkwy
Suite 210
McDonough, GA 30253-3051
Phone
(770) 914-8803
Fax
(770) 914-8949
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Mr. Jason Alan Cormier, EMT-I
Title
Director
Phone
(770) 709-1462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 075-13 GA Primary

Addresses

Primary practice location

155 Westridge Pkwy
Suite 210
McDonough, GA 30253-3051

Mailing address

155 Westridge Pkwy
Suite 210
McDonough, GA 30253-3051
Phone (770) 914-8803

National Provider Directory

National Provider Directory

Locations

155 Westridge Pkwy
Ste 210
McDonough, GA 30253
Phone (770) 914-8803

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1063843597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY",
            "address_2": "SUITE 210",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533051",
            "telephone_number": "770-914-8803",
            "fax_number": "770-914-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY",
            "address_2": "SUITE 210",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533051",
            "telephone_number": "770-914-8803",
            "fax_number": "770-914-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-709-1462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "075-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.