Organization Active NPI

Critical Care Ambulance LLC

  • Land Ambulance
  • Conyers, GA
National Provider Identifier
1104616952
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 6, 2025

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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2329270Critical Care Ambulance LLC1000 Iris Drive, Suite C1, Conyers, GA 30094Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.