Organization Active NPI

Southeast Ambulance of Atlanta, Inc.

  • Ambulance
  • Athens, GA
National Provider Identifier
1336586718
Registry record updated May 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SOUTHEAST AMBULANCE OF ATLANTA, INC.
Practice address
855 Sunset Dr
Suite 19
Athens, GA 30606-7718
Phone
(706) 202-4038
NPI assigned
May 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2013

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

Authorized official

Name
Mr. John L Padgett
Title
President
Phone
(706) 202-4038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

855 Sunset Dr
Suite 19
Athens, GA 30606-7718

Mailing address

PO Box 6241
Athens, GA 30604-6241
Phone (706) 202-4038

National Provider Directory

National Provider Directory

Locations

855 Sunset Dr
Ste 19
Athens, GA 30606
Phone (706) 202-4038

NPI Registry JSON

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369526400000",
    "number": "1336586718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6241",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306046241",
            "telephone_number": "706-202-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "SUITE 19",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-202-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST AMBULANCE OF ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-26",
        "last_updated": "2013-05-26",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-202-4038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.