Active NPI
Rise and Shine EMS LLC
- Land Ambulance
- Douglasville, GA
National Provider Identifier
1114767506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241213003264 | GA | Part B Supplier - Ambulance Service Supplier | 4688100688 | Practice locations: Douglasville, GA |
National Provider Directory
National Provider DirectoryLocations
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.