Organization Active NPI

Rise and Shine EMS LLC

  • Land Ambulance
  • Douglasville, GA
National Provider Identifier
1114767506
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RISE AND SHINE EMS LLC
Practice address
8206 Duralee LN # 103a
Douglasville, GA 30134-2589
Phone
(678) 334-0124
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Ramel Spruill
Title
Operational Manager
Phone
(678) 334-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8206 Duralee LN # 103a
Douglasville, GA 30134-2589

Mailing address

8206 Duralee LN # 103a
Douglasville, GA 30134-2589
Phone (678) 334-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241213003264 GA Part B Supplier - Ambulance Service Supplier 4688100688 Practice locations: Douglasville, GA

National Provider Directory

National Provider Directory

Locations

8206 Durelee Ln
Ste 103A
Douglasville, GA 30134

8206 Durelee Ln
#103A
Douglasville, GA 30134
Phone (678) 334-0124

8206 Durelee Ln
Douglasville, GA 30134
Phone (678) 492-9474

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1114767506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 DURALEE LN # 103A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342589",
            "telephone_number": "678-334-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 DURALEE LN # 103A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342589",
            "telephone_number": "678-334-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND SHINE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "RAMEL",
        "authorized_official_title_or_position": "OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "678-334-0124"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.