Mercury EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3416LO300X Issued in GA

Legal business name

MERCURY EMS LLC

Practice address

8335 Office Park Dr
Sutie #B
Douglasville, GA 30134-6937

Phone

(770) 693-2291

Fax

(770) 693-2586

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Robinson Vann

Title

Director

Phone

(770) 693-2291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1265717813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "770-693-2291",
            "fax_number": "770-693-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 OFFICE PARK DR",
            "address_2": "SUTIE #B",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "770-693-2291",
            "fax_number": "770-693-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-693-2291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "3416LO300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Melendez, MD
• Beatrice Mensah Gaisie
• Mentor One
• Thaedra Denice Mercadel, M.D.
• Lavon Mercer
• Marie-Violene Mertilus, LCSW
• Ravi Kumar Metai, MD
• Metro West Anesthesia
• Michael D. Reese, M.D., P.C.
• Danna Michel, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.