Elite Ambulance Transportation

Primary specialty

AmbulanceTaxonomy code 341600000X

License

AMB2017026 Issued in GA

Legal business name

ELITE AMBULANCE TRANSPORTATION

Practice address

152 New St Ste 103E
Macon, GA 31201-7304

Phone

(478) 845-8500

NPI assigned

Nov 14, 2017

Last updated

Jan 31, 2018By 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

Mr. Kedrick Marcus

Title

Owner

Phone

(478) 845-8500

Specialties & licenses 1

Addresses

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1487167250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ELDORADO DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178615",
            "telephone_number": "478-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NEW ST STE 103E",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017304",
            "telephone_number": "478-845-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AMBULANCE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "KEDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-845-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "AMB2017026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Barnes Ekeledo, MD
• Joshua Seth Elder, RN
• Elegance Anesthesia
• Riuyinosa Elema
• Megan Elisar, M.A.,CCC-SLP
• Elite Apothecary Services, LLC (Primary Pediatrics Family Pharmacy)
• Elite Chariot Transportation Inc
• Elite Movement Specialists LLC
• Pamela Ellerbee, CRNA
• Diane Casanueva Elliott, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.