Active NPI
American EMS
- Land Ambulance
- Douglasville, GA
National Provider Identifier
1467893271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 048-07
- Legal business name
- AMERICAN EMS
- Practice address
- 7240 Bankhead Hwy
Douglasville, GA 30134 - Phone
- (770) 489-2131
- Fax
- (770) 489-2132
- NPI assigned
- Jul 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wissam Zanhar
- Title
- Owner
- Phone
- (770) 710-3959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 048-07 | GA | Primary |
Addresses
Primary practice location
7240 Bankhead Hwy
Douglasville, GA 30134
Mailing address
4480 S Cobb Dr SE Ste H332
Smyrna, GA 30080-6990
Phone (770) 489-2131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130821000394 | GA | Part B Supplier - Ambulance Service Supplier | 5294978326 | Practice locations: Douglasville, GA |
National Provider Directory
National Provider DirectoryLocations
7240 Bankhead Hwy
Douglasville, GA 30134
Phone (770) 489-2131
12755 Veterans Memorial Hwy
Douglasville, GA 30134
Phone (770) 489-2131
4480 S Cobb Dr SE
Ste H332
Smyrna, GA 30080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531094400000",
"number": "1467893271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 S COBB DR SE STE H332",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806990",
"telephone_number": "770-489-2131",
"fax_number": "770-489-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 BANKHEAD HWY",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30134",
"telephone_number": "770-489-2131",
"fax_number": "770-489-2132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN EMS",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-09",
"last_updated": "2018-07-09",
"status": "A",
"authorized_official_last_name": "ZANHAR",
"authorized_official_first_name": "WISSAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-710-3959"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "048-07",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.