Active NPI
Phoenix Air Group, Inc
- Air Ambulance
- Cartersville, GA
National Provider Identifier
1497543227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- PHOENIX AIR GROUP, INC
- Practice address
- 100 Phoenix Air Dr SW
Cartersville, GA 30120-6896 - Phone
- (770) 387-2000
- Fax
- (770) 387-4545
- NPI assigned
- Apr 30, 2025
- 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
- Dent M Thompson
- Title
- Senior Vice President & Chief Opera
- Phone
- (770) 387-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
100 Phoenix Air Dr SW
Cartersville, GA 30120-6896
Mailing address
100 Phoenix Air Dr SW
Cartersville, GA 30120-6896
Phone (770) 387-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260325003297 | GA | Part B Supplier - Ambulance Service Supplier | 6608351895 | Practice locations: Cartersville, GA |
National Provider Directory
National Provider DirectoryLocations
100 Phoenix Air Dr SW
Cartersville, GA 30120
Phone (770) 387-2000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1790319283
-
- Nurse Practitioner
- Marietta, GA
- NPI 1891379608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766016000000",
"number": "1497543227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PHOENIX AIR DR SW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301206896",
"telephone_number": "770-387-2000",
"fax_number": "770-387-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PHOENIX AIR DR SW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301206896",
"telephone_number": "770-387-2000",
"fax_number": "770-387-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX AIR GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-30",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DENT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CHIEF OPERA",
"authorized_official_telephone_number": "770-387-2000"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.