Organization Active NPI

Red Group LLC

  • Land Ambulance
  • Smyrna, GA
National Provider Identifier
1508097296
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RED GROUP LLC
Practice address
5292 Oakdale Rd SE
Suite 7
Smyrna, GA 30082-5245
Phone
(770) 866-2120
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mr. Charles Derrick Isham
Title
Chief Executive Officer
Phone
(770) 866-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5292 Oakdale Rd SE
Suite 7
Smyrna, GA 30082-5245

Mailing address

3660 Shope Rd
Gainesville, GA 30506-3267
Phone (770) 866-2120

Other names 1

  • United Ambulance Service Doing business as

National Provider Directory

National Provider Directory

Locations

5292 Oakdale Rd SE
Ste 7
Smyrna, GA 30082
Phone (770) 866-2120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1508097296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 SHOPE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063267",
            "telephone_number": "770-866-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 OAKDALE RD SE",
            "address_2": "SUITE 7",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825245",
            "telephone_number": "770-866-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "ISHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "770-866-2120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.