Organization Active NPI

National Emergency Medical Services Inc

  • Ambulance
  • Watkinsville, GA
National Provider Identifier
1396950770
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
122-04 Issued in GA
Legal business name
NATIONAL EMERGENCY MEDICAL SERVICES INC
Practice address
1021 Lampkin Branch Dr
Watkinsville, GA 30677-6069
Phone
(770) 922-9578
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Mr. Robert A Jewell
Title
Chief Revenue Integration Officer
Phone
(844) 597-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 122-04 GA Primary

Addresses

Primary practice location

1021 Lampkin Branch Dr
Watkinsville, GA 30677-6069

Mailing address

PO Box 7008
Carol Stream, IL 60197-7008
Phone (844) 597-4911

Other identifiers 1

IdentifierTypeStateIssuer
000133768AMedicaidGA

Other names 1

  • National EMS Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000050 GA Part B Supplier - Ambulance Service Supplier 0941256291 Practice locations: Conyers, GA; Watkinsville, GA; Madison, GA; Athens, GA

National Provider Directory

National Provider Directory

Locations

170 Old Epps Bridge Rd
Athens, GA 30606
Phone 7702867007117

511 Gaines School Rd
Athens, GA 30605
Phone (706) 543-6006

1060 Culpepper Dr SW
Conyers, GA 30094
Phone (404) 922-9578

1380 Monticello Rd
Madison, GA 30650
Phone (706) 286-7007

1021 Lampkin Branch Dr
Watkinsville, GA 30677
Phone 7062867007117

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1396950770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7008",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601977008",
            "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": "1021 LAMPKIN BRANCH DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776069",
            "telephone_number": "770-922-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "122-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000133768A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National EMS Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "National EMS Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.