Organization Active NPI

Marksmen EMS, LLC

  • Land Ambulance
  • Tifton, GA
National Provider Identifier
1164389649
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MARKSMEN EMS, LLC
Practice address
413 Fulwood Blvd
Tifton, GA 31794-3832
Phone
(269) 357-4568
NPI assigned
Jan 7, 2026
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Adam Peisker
Title
President
Phone
(269) 357-4568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

413 Fulwood Blvd
Tifton, GA 31794-3832

Mailing address

1911 S Highway 129
Stockton, GA 31649-1643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319000583 GA Part B Supplier - Ambulance Service Supplier 5991289837 Practice locations: Tifton, GA

National Provider Directory

National Provider Directory

Locations

413 Fulwood Blvd
Tifton, GA 31794
Phone (269) 357-4568

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1164389649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S HIGHWAY 129",
            "city": "STOCKTON",
            "state": "GA",
            "postal_code": "316491643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 FULWOOD BLVD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943832",
            "telephone_number": "269-357-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKSMEN EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "PEISKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-357-4568"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.