Excelsior Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

001-03 Issued in GA

Legal business name

EXCELSIOR AMBULANCE SERVICE INC

Practice address

1 Excelsior Way SE
Ludowici, GA 31316-0979

Phone

(912) 278-1725

Fax

(912) 454-5100

NPI assigned

Apr 12, 2011

Last updated

Jul 1, 2026By 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

Dr. James A Graham, MDNPI 1932125291

Title

Owner

Phone

(912) 278-1725

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL, SC, AL4 enrollments

Enrollment records 4

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Graham, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1932125291

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1275823122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXCELSIOR WAY SE",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "313160979",
            "telephone_number": "912-278-1725",
            "fax_number": "912-454-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXCELSIOR WAY SE",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "313160979",
            "telephone_number": "912-278-1725",
            "fax_number": "912-454-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2090 Executive Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294078709",
            "country_code": "US",
            "telephone_number": "912-367-9797",
            "fax_number": "912-454-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Ohio Ferro Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "36117",
            "country_code": "US",
            "telephone_number": "912-367-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 SE Baya Dr",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320255982",
            "country_code": "US",
            "telephone_number": "912-367-9797",
            "fax_number": "912-454-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELSIOR AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-278-1725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "001-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Deann Dewitt
• Diversity Health Center Inc
• Diversity Health Center Inc.
• Diversity Health Center Inc.
• Holli Bailey Eason, FNP-BC
• Skytina Roshelle Felder-Jones, LMHC
• Stephanie Marie Garcia-Colon
• Stacie Graham, BCBA
• Chelsey Guthrie, RN
• Angela Elizabeth Hartley, APRN, FNP-C

• Land Ambulance in Ludowici, GA
• Providers in Ludowici, 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 1, 2026; 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.