Organization Active NPI

United Care EMS LLC

  • Land Ambulance
  • Jonesboro, GA
National Provider Identifier
1205713070
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UNITED CARE EMS LLC
Practice address
409 Arrowhead Blvd Ste A142
Jonesboro, GA 30236-1264
Phone
(678) 404-8475
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Garryonn Graham
Title
Owner
Phone
(404) 528-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

409 Arrowhead Blvd Ste A142
Jonesboro, GA 30236-1264

Mailing address

409 Arrowhead Blvd Ste A142
Jonesboro, GA 30236-1264
Phone (678) 404-8475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202003793 GA Part B Supplier - Ambulance Service Supplier 4789177387 Practice locations: Jonesboro, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2261404United Care EMS LLC409 Arrowhead Boulevard, Jonesboro, GA 30236Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Locations

409 Arrowhead Blvd
Ste A142
Jonesboro, GA 30236
Phone (678) 404-8475

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1205713070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD STE A142",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361264",
            "telephone_number": "678-404-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD STE A142",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361264",
            "telephone_number": "678-404-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GARRYONN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-528-4494"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.