NPIMap

Organization Active NPI

Active Care EMS

  • Ambulance
  • Dacula, GA
National Provider Identifier
1457101552
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ACTIVE CARE EMS
Practice address
2247 Peach Shoals Cir
Dacula, GA 30019-2183
Phone
(470) 399-0522
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Matricia ChalmersNPI 1346090453
Title
Owner
Phone
(470) 399-0522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2247 Peach Shoals Cir
Dacula, GA 30019-2183

Mailing address

2247 Peach Shoals Cir
Dacula, GA 30019-2183
Phone (470) 399-0522

National Provider Directory

National Provider Directory

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": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1457101552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PEACH SHOALS CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192183",
            "telephone_number": "470-399-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PEACH SHOALS CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192183",
            "telephone_number": "470-399-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "CHALMERS",
        "authorized_official_first_name": "MATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-399-0522"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.