Phoenix Emergency Medical Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

075-12 Issued in GA

Legal business name

PHOENIX EMERGENCY MEDICAL SERVICES LLC

Practice address

1518 Old Hwy 3 N
Hampton, GA 30228

Phone

(770) 914-5512

Fax

(770) 981-9078

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Rob Wesley Lunsford

Title

Director of Operations

Phone

(770) 914-5512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1225479744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302531536",
            "telephone_number": "770-914-5512",
            "fax_number": "770-981-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 OLD HWY 3 N",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "30228",
            "telephone_number": "770-914-5512",
            "fax_number": "770-981-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EMERGENCY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "LUNSFORD",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "770-914-5512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "075-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tearra Perkins
• Stacy Petit-Jones, RN
• David R Petty Jr., LCSW
• Valentina Pharms-McNeill
• Semone Phillip, MD
• Physically Empowered Therapy & Wellness
• Kassandra Pierre Louis
• Pinky Promise Creators LLC
• Pivotal Behavior ABA, LLC
• Ploi Excellent Healthcare Services L.L.C.

• Land Ambulance in Hampton, GA
• Providers in Hampton, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.