Active NPI
Critical Care Ambulance LLC
- Land Ambulance
- Conyers, GA
National Provider Identifier
1104616952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CRITICAL CARE AMBULANCE LLC
- Practice address
- 1000 Iris Dr SW Ste C1
Conyers, GA 30094-6622 - Phone
- (404) 734-1094
- NPI assigned
- May 6, 2025
- 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
- Deangelo Rowland
- Title
- Owner
- Phone
- (404) 683-9907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1000 Iris Dr SW Ste C1
Conyers, GA 30094-6622
Mailing address
6502 Allatoona Rd
Morrow, GA 30260-2702
Phone (404) 683-9907
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2329270 | Critical Care Ambulance LLC | Certificate of waiver | Aug 25, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1104616952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 ALLATOONA RD",
"city": "MORROW",
"state": "GA",
"postal_code": "302602702",
"telephone_number": "404-683-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 IRIS DR SW STE C1",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946622",
"telephone_number": "404-734-1094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITICAL CARE AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "ROWLAND",
"authorized_official_first_name": "DEANGELO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-683-9907"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.