Active NPI
One Life EMS LLC
- Land Ambulance
- Newnan, GA
National Provider Identifier
1558154112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 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
- Hamis Rwabudongo
- Title
- Owner
- Phone
- (281) 948-2909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260102000627 | GA | Part B Supplier - Ambulance Service Supplier | 4688167026 | Practice locations: Newnan, GA |
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 |
|---|---|---|---|
| 11D2328191 | One Life EMS LLC | Certificate of waiver | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.