Legacy First Response EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LEGACY FIRST RESPONSE EMS LLC

Practice address

3230 Highway 42 Ste L
Stockbridge, GA 30281-4695

Phone

(770) 572-1029

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Campbellson Shackleton

Title

Ceo

Phone

(770) 572-1029

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1346938701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 HIGHWAY 42 STE L",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814695",
            "telephone_number": "770-572-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 HIGHWAY 42 STE L",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814695",
            "telephone_number": "770-572-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FIRST RESPONSE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "SHACKLETON",
        "authorized_official_first_name": "CAMPBELLSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-572-1029"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.