Organization Active NPI

Key of Life Ambulance Service

  • Ambulance
  • Macon, GA
National Provider Identifier
1225801533
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
KEY OF LIFE AMBULANCE SERVICE
Practice address
3040 Riverside Dr Ste C1
Macon, GA 31210-0410
Phone
(478) 973-5055
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Shekeita Stephens
Title
Owner
Phone
(478) 973-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3040 Riverside Dr Ste C1
Macon, GA 31210-0410

Mailing address

350 Amanda Dr
Macon, GA 31216-6388
Phone (478) 973-5055

Other names 1

  • KEY OF LIFE CARES Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205003016 GA Part B Supplier - Ambulance Service Supplier 3274063250 Practice locations: Macon, 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
11D2278516Key of Life Ambulance Service3040 Riverside Drive C1, Macon, GA 31210Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Locations

3040 Riverside Dr
Ste C1
Macon, GA 31210
Phone (478) 227-2809

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1225801533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 AMANDA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166388",
            "telephone_number": "478-973-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE C1",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100410",
            "telephone_number": "478-973-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY OF LIFE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SHEKEITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-973-5055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEY OF LIFE CARES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.