Southmed Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHMED AMBULANCE SERVICE LLC

Practice address

1150 Broad St Ste 3
Sumter, SC 29150-1997

Phone

(803) 968-3009

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

James Derick PearsonNPI 1679094643

Title

Director

Phone

(803) 968-3009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James D Pearson

  • Basic Emergency Medical Technician
  • Sumter, SC
  • NPI 1679094643
  NPD Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1154824563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ASHLYNN WAY",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BROAD ST STE 3",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501997",
            "telephone_number": "803-968-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHMED AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-968-3009"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina Dhec
• South Carolina Dhec
• South East Neurology, LLC
• Victor Carnell South Jr., LPTA
• Southern Oak Dental, LLC
• Southside Manor Residential Care Faility
• Speak & Swallow Therapy Services
• Lorna Danielle Speigle, DPT, PT
• Desinta Speller, D.D.S.
• Malorie Spiegel, RBT

• Land Ambulance in Sumter, SC
• Providers in Sumter, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.