Air Evac EMS, Inc.
Organization Active NPI Air Ambulance · Fayetteville, GA
NPI 1356980650 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1356980650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS, INC.
- Practice address
- 125 Promenade Pkwy
Fayetteville, GA 30214-7712 - Phone
- (877) 288-5340
- Fax
- (417) 257-5761
- NPI assigned
- Jan 3, 2020
- 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 16
Corporate family (same tax ID) 17
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2177966 | Air Evac Lifeteam Ael 153 | Certificate of waiver | Jan 22, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
125 Promenade Pkwy
Fayetteville, GA 30214-7712
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
Other providers in Fayetteville, GA
- Fatimat Olumayowa Olufunmilayo Agbojeyin
- Chanda Agee
- Ali Ahmad
- Taiwo Aigberua
- Joan O. Aina
- Carol Aiyankhebor
- Aj Surgical Associates
- Naveed Akhtar
- 'Tola O. Charles Akomolafe
- Bashar Al-Turk
All providers in Fayetteville, GA · Air Ambulance in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. 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.