Active NPI
Desmond Newkirk
- Paramedic
- Fayetteville, GA
National Provider Identifier
1194372201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 12693
- Practice address
- 185 Bradford SQ Ste C
Fayetteville, GA 30215-1932 - Phone
- (770) 780-5532
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 12693 | GA | Primary |
Addresses
Primary practice location
185 Bradford SQ Ste C
Fayetteville, GA 30215-1932
Mailing address
683Pownal LN
Hampton, GA 30228
Phone (770) 780-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Ambulance Service, LLC | Current | Accepting new patients |
Locations
185 Bradford Sq
Ste C
Fayetteville, GA 30215
Phone (770) 780-5532
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Fayetteville, GA
- NPI 1598309817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1194372201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683POWNAL LN",
"city": "HAMPTON",
"state": "GA",
"postal_code": "30228",
"telephone_number": "770-780-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 BRADFORD SQ STE C",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302151932",
"telephone_number": "770-780-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWKIRK",
"first_name": "DESMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "GA",
"license": "12693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.