Active NPI
Lga Management Co.
- Emergency Medical Services (Emergency Medicine) Physician
- Elgin, SC
National Provider Identifier
1497513006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- LGA MANAGEMENT CO.
- Practice address
- 181 Pontiac Business Center Dr
Elgin, SC 29045-9171 - Phone
- (803) 900-3317
- NPI assigned
- Mar 8, 2024
- 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
- Christopher Gibson
- Title
- President/EMS Director
- Phone
- (803) 900-3332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
181 Pontiac Business Center Dr
Elgin, SC 29045-9171
Mailing address
181 Pontiac Business Center Dr
Elgin, SC 29045-9171
Phone (803) 900-3317
Other names 1
- Carolina First EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240521003424 | SC | Part B Supplier - Ambulance Service Supplier | 0143662270 | Practice locations: Elgin, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2301018 | Lga Management Co Dba Carolina First EMS | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
181 Pontiac Business Center Dr
Elgin, SC 29045
Phone (803) 900-3317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1497513006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PONTIAC BUSINESS CENTER DR",
"city": "ELGIN",
"state": "SC",
"postal_code": "290459171",
"telephone_number": "803-900-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PONTIAC BUSINESS CENTER DR",
"city": "ELGIN",
"state": "SC",
"postal_code": "290459171",
"telephone_number": "803-900-3317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LGA MANAGEMENT CO.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT/EMS DIRECTOR",
"authorized_official_telephone_number": "803-900-3332"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina First EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.