Organization Active NPI

Gold Star EMS, LLC

Doing business as Gold Star Ambulance

  • Land Ambulance
  • Albany, GA
National Provider Identifier
1497075279
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
047-03 Issued in GA
Legal business name
GOLD STAR EMS, LLC
Doing business as
Gold Star Ambulance
Practice address
2815 Gillionville Rd
Albany, GA 31721-2903
Phone
(229) 226-4460
Fax
(866) 396-1173
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Charles Proctor
Title
Owner
Phone
(229) 809-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 047-03 GA Primary

Addresses

Primary practice location

2815 Gillionville Rd
Albany, GA 31721-2903

Mailing address

PO Box 72282
Albany, GA 31708-2282
Phone (229) 886-3666

Other names 1

  • Gold Star Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100714000314 GA Part B Supplier - Ambulance Service Supplier 4981736774 Practice locations: Bainbridge, GA; Columbus, GA; Homerville, GA; Lagrange, GA; Tifton, GA; Valdosta, GA; Albany, GA

National Provider Directory

National Provider Directory

Locations

2815 Gillionville Rd
Albany, GA 31721
Phone (229) 226-4460

201 Baldwin Dr
Albany, GA 31707
Phone (229) 886-3666

443 Pioneer Rd NW
Arlington, GA 39813
Phone (229) 317-4911

1514 E Evans St
Bainbridge, GA 39819
Phone (229) 243-7260

3 Bradley Park Ct
Ste C
Columbus, GA 31904
Phone (706) 888-2647

5803 Bypass Rd
Homerville, GA 31634
Phone (229) 317-4911

1003 Hogansville Rd
Ste E
Lagrange, GA 30241
Phone (877) 794-4911

170 Big Star Dr
Thomasville, GA 31757
Phone (229) 317-4911

4480 Valnorth Dr
Ste B
Valdosta, GA 31602
Phone (877) 794-4911

3219 N Oak Street Ext
Ste M
Valdosta, GA 31605
Phone (229) 317-4911

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": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1497075279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72282",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082282",
            "telephone_number": "229-886-3666",
            "fax_number": "866-396-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212903",
            "telephone_number": "229-226-4460",
            "fax_number": "866-396-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-809-6190"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "047-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Star Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.

Verify at the official NPI Registry.