Air Evac EMS Inc.
Organization Active NPI Air Ambulance · Waynesboro, TN
NPI 1295933661 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1295933661
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC.
- Practice address
- 915 Andrew Jackson Drive
Waynesboro, TN 38485 - Phone
- (931) 772-3285
- NPI assigned
- Jul 6, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- AIR EVAC EMS INC
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Other NPIs on the same Medicare enrollment 34
Corporate family (same tax ID) 16
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1092318 | Air Evac EMS, Inc | Certificate of waiver | Nov 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000681 | TN | Part B Supplier - Ambulance Service Supplier | 8123931755 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lafayette, TN; Waynesboro, TN; Waverly, TN; Troy, TN; Smyrna, TN; Savannah, TN; Parsons, TN; Paris, TN… |
| O20040430000654 | GA | Part B Supplier - Ambulance Service Supplier | 8123931755 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Thomaston, GA; Waycross, GA; Vidalia, GA; Tifton, GA; Statesboro, GA; Snellville, GA; Perry, GA; Milledgeville, GA… |
National Provider Directory
- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
915 Andrew Jackson Drive
Waynesboro, TN 38485
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
Other providers in Waynesboro, TN
- Agape Mental Health Center Inc
- Keli Alvarez
- Amg Crockett LLC
- Tara Anderson
- Janice Kay Andrews
- Nancy A. Armetta
All providers in Waynesboro, TN · Air Ambulance in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.