Pioneer Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PIONEER AMBULANCE SERVICES LLC

Practice address

900 N Hairston Rd Ste C
Stone Mountain, GA 30083-2857

Phone

(404) 425-6387

NPI assigned

Apr 28, 2025

Organization subpart

No

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

Authorized official

Name

Mumtaz Robow

Title

Authorized Agent

Phone

(404) 425-6387

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1184412553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N HAIRSTON RD STE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HAIRSTON RD STE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832857",
            "telephone_number": "404-425-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "ROBOW",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "404-425-6387"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.