Organization Active NPI

One Life EMS LLC

  • Land Ambulance
  • Newnan, GA
National Provider Identifier
1558154112
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ONE LIFE EMS LLC
Practice address
29 Millard Farmer Ind Blvd Ste B1
Newnan, GA 30263-5821
Phone
(404) 502-4914
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Hamis Rwabudongo
Title
Owner
Phone
(281) 948-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

29 Millard Farmer Ind Blvd Ste B1
Newnan, GA 30263-5821

Mailing address

29 Millard Farmer Ind Blvd Ste B1
Newnan, GA 30263-5821
Phone (404) 502-4914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102000627 GA Part B Supplier - Ambulance Service Supplier 4688167026 Practice locations: Newnan, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2328191One Life EMS LLC29 Millard Farmer Ind Blvd, Suite B1, Newnan, GA 30263Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

29 Millard Farmer Ind Blvd
Ste B1
Newnan, GA 30263
Phone (404) 502-4914

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1558154112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MILLARD FARMER IND BLVD STE B1",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635821",
            "telephone_number": "404-502-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MILLARD FARMER IND BLVD STE B1",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635821",
            "telephone_number": "404-502-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LIFE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "RWABUDONGO",
        "authorized_official_first_name": "HAMIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-948-2909"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.