Frontline Ambulance Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

FRONTLINE AMBULANCE SERVICE LLC

Practice address

5825 Glenridge Dr Ste 3-245
Atlanta, GA 30328-5399

Phone

(404) 666-2115

NPI assigned

Dec 12, 2023

Last updated

May 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlon Bevaun

Title

Cfo

Phone

(404) 666-2115

Specialties & licenses 1

Addresses

Other names 1

• NORTH ATLANTA TRANSPORTATION LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1417725219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 HIGHTOWER TRL UNIT 502383",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311503127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR STE 3-245",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285399",
            "telephone_number": "404-666-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-05-30",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BEVAUN",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-666-2115"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH ATLANTA TRANSPORTATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NORTH ATLANTA TRANSPORTATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ambulance in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.