North Star Medical Transport Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTH STAR MEDICAL TRANSPORT INC

Practice address

556 Ginn Street
Carnesville, GA 30521-9997

Phone

(706) 452-1695

NPI assigned

Aug 30, 2017

Last updated

Jul 5, 2022By 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

Aimee Kenerly

Title

Ao

Phone

(706) 452-1695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1255859179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 GINN STREET",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305219997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 GINN STREET",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305219997",
            "telephone_number": "706-452-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "KENERLY",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "706-452-1695"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.