NPIMap

Organization Active NPI

Care Star EMS

  • Land Ambulance
  • Stockbridge, GA
National Provider Identifier
1376111948
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CARE STAR EMS
Practice address
3269 Highway 42
Stockbridge, GA 30281-4446
Phone
(404) 667-0007
NPI assigned
Jun 11, 2021
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Brandon Brown
Title
Owner
Phone
(404) 667-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3269 Highway 42
Stockbridge, GA 30281-4446

Mailing address

3269 Highway 42
Stockbridge, GA 30281-4446
Phone (404) 667-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211227000916 GA Part B Supplier - Ambulance Service Supplier 1850782996 Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1376111948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 HIGHWAY 42",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814446",
            "telephone_number": "404-667-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 HIGHWAY 42",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814446",
            "telephone_number": "404-667-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE STAR EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-667-0007"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.