Individual provider Active NPI

Matricia Anne Chalmers

  • Ambulance
  • Dacula, GA
National Provider Identifier
1346090453
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Practice address
2247 Peach Shoals Cir
Dacula, GA 30019-2183
Phone
(470) 399-0522
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2247 Peach Shoals Cir
Dacula, GA 30019-2183

Mailing address

2247 Peach Shoals Cir
Dacula, GA 30019-2183
Phone (470) 399-0522

Other practice location 1

2247 Peach Shoals Cir
Dacula, GA 30019-2183
Phone (470) 399-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M&K Active Transport LLC Current Accepting new patients
Active Care EMS Ambulance Current Accepting new patients
City Links Transportation Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1346090453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PEACH SHOALS CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192183",
            "telephone_number": "470-399-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PEACH SHOALS CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192183",
            "telephone_number": "470-399-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2247 Peach Shoals Cir",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300192183",
            "country_code": "US",
            "telephone_number": "470-399-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALMERS",
        "first_name": "MATRICIA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.