Atlas Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

067-16 Issued in GA

Legal business name

ATLAS AMBULANCE INC

Practice address

6961 Peachtree Industrial Blvd
Suite 102H
Norcross, GA 30092-3647

Phone

(770) 840-1950

Fax

(770) 840-1955

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Abdelghani Souhail

Title

Owner

Phone

(770) 840-1950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1083988349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 102H",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923647",
            "telephone_number": "770-840-1950",
            "fax_number": "770-840-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 102H",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923647",
            "telephone_number": "770-840-1950",
            "fax_number": "770-840-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "SOUHAIL",
        "authorized_official_first_name": "ABDELGHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-840-1950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "067-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Norcross, GA
• Providers in Norcross, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.

Verify at the official NPI Registry.