Shoals Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000010174 Issued in TN

Legal business name

SHOALS AMBULANCE LLC

Doing business as

A&E EMS
Baptist
Baptist Children's Hospital2 more in Other names

Practice address

910 Callahan Dr
Suite 101
Knoxville, TN 37912-1347

Phone

(865) 688-4999

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Robert A Jewell

Title

Chief Revenue Integration Officer

Phone

(844) 597-4911

Specialties & licenses 1

Addresses

Other names 5

• A&E EMS Doing business as
• Baptist Doing business as
• Baptist Children's Hospital Doing business as
• Magnolia Ambulance Doing business as
• Priority Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in TN, MS, AR3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Shoals Ambulance LLC

  dba Priority Ambulance

  • Land Ambulance
  • Bessemer, AL
  • NPI 1073871836

  6103080593

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Priority Ambulance4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Shoals Ambulance LLC

  dba Priority Ambulance

  • Land Ambulance
  • Bessemer, AL
  • NPI 1073871836
  NPD tax ID
• Shoals Ambulance LLC

  dba Sunstate Ambulance

  • Land Ambulance
  • Panama City, FL
  • NPI 1336088301
  NPD tax ID
• Shoals Ambulance LLC

  dba Priority Ambulance

  • Land Ambulance
  • Florence, AL
  • NPI 1497177695
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Jae Cline, FNP-C

  • Nurse Practitioner
  • Loudon, TN
  • NPI 1912429036
  NPD (past)
• Carol D Crye, NP

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1538101209
  NPD (past)
• Paul Eppinette, APRN-BC

  • Family Nurse Practitioner
  • Powell, TN
  • NPI 1528477858
  NPD (past)
• Alison Foister, FNP

  • Family Nurse Practitioner
  • Clinton, TN
  • NPI 1215336722
  NPD (past)
• Joseph Eugene Holley Jr., MD

  • General Practice Physician
  • Knoxville, TN
  • NPI 1952342586
  NPD (past)
• Sara Dunham, APRN

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1477113892
  NPD (past)

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1356761589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660883",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660883",
            "telephone_number": "844-597-4911",
            "fax_number": "866-687-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CALLAHAN DR",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121347",
            "telephone_number": "865-688-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
        "authorized_official_telephone_number": "844-597-4911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000010174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&E EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Priority Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer C Shirley, CRNA
• Stephanie Shirley, PA
• William Daniel Shirley, LPC-MHSP
• Lesley Shiver, LPC/MHSP
• Mary Elizabeth Shoaff, PSYD
• Shantel R Shockey, LMFT
• Johnna JC Shockley, DMD
• Judith A Shoemaker, LCSW
• Heather Shoffner
• Dawn Michele Shofner

• Land Ambulance in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.