Organization Active NPI

Pulse Ambulance Service Inc

  • Land Ambulance
  • Conyers, GA
National Provider Identifier
1437922994
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PULSE AMBULANCE SERVICE INC
Practice address
1000 Iris Dr SW Ste C1
Conyers, GA 30094-6622
Phone
(678) 323-6775
Fax
(770) 482-0148
NPI assigned
Nov 6, 2023
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Joseph Reynolds
Title
Ceo
Phone
(678) 323-6775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1000 Iris Dr SW Ste C1
Conyers, GA 30094-6622

Mailing address

1000 Iris Dr SW Ste C1
Conyers, GA 30094-6622
Phone (678) 323-6775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820001800 GA Part B Supplier - Ambulance Service Supplier 0547708679 Practice locations: Conyers, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2286168Pulse Ambulance Service, Inc1000 Iris Drive, Suite C, Conyers, GA 30094Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

1000 Iris Dr SW
Ste C
Conyers, GA 30094
Phone (770) 482-2413

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1437922994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 IRIS DR SW STE C1",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946622",
            "telephone_number": "678-323-6775",
            "fax_number": "770-482-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 IRIS DR SW STE C1",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946622",
            "telephone_number": "678-323-6775",
            "fax_number": "770-482-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-323-6775"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.