Advance EMS LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADVANCE EMS LLC

Practice address

4575 Jonesboro Rd
Forest Park, GA 30297-4317

Phone

(404) 993-3589

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Osman Barrow

Title

Owner

Phone

(404) 993-3589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1194310946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 JONESBORO RD",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302974317",
            "telephone_number": "404-993-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 JONESBORO RD",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302974317",
            "telephone_number": "404-993-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-3589"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.