Platinum EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PLATINUM EMS LLC

Practice address

906 Athens St
Gainesville, GA 30501-6936

Phone

(470) 248-1411

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Edwin Krol

Title

Director of Administration

Phone

(678) 979-7497

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1396377628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ATHENS ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016936",
            "telephone_number": "470-248-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ATHENS ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016936",
            "telephone_number": "470-248-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "678-979-7497"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "address_1": "906 Athens St",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305016936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Noorine Plumber
• Alexander Polsinelli, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.