Organization Active NPI

Grace EMS, LLC

Doing business as Grace EMS

  • Land Ambulance
  • Blairsville, GA
National Provider Identifier
1124651724
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GRACE EMS, LLC
Doing business as
Grace EMS
Practice address
91 David Burnette Dr
Blairsville, GA 30512-5102
Phone
(877) 472-2311
Fax
(877) 472-2339
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Marc Erwin Burnette
Title
Owner
Phone
(877) 472-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

91 David Burnette Dr
Blairsville, GA 30512-5102

Mailing address

PO Box 2331
Blairsville, GA 30514-2331
Phone (877) 472-2311

Other names 1

  • Grace EMS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.burnette@graceems.org

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1124651724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2331",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305142331",
            "telephone_number": "877-472-2311",
            "fax_number": "877-472-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 DAVID BURNETTE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305125102",
            "telephone_number": "877-472-2311",
            "fax_number": "877-472-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-472-2311"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.burnette@graceems.org",
            "affiliation": "N",
            "address_1": "91 David Burnette Dr",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305125102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grace EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.