Active NPI
Pinnacle Ambulance LLC
- Ambulance
- Jonesboro, GA
National Provider Identifier
1578065595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- AMB2017024
- Legal business name
- PINNACLE AMBULANCE LLC
- Practice address
- 2839 Mount Zion Rd
Jonesboro, GA 30236-6822 - Phone
- (678) 371-8818
- Fax
- (678) 364-7373
- NPI assigned
- Mar 6, 2018
- 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
- Mr. Nabih Sabbagh
- Title
- President
- Phone
- (678) 371-8818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | AMB2017024 | GA | Primary |
Addresses
Primary practice location
2839 Mount Zion Rd
Jonesboro, GA 30236-6822
Mailing address
312 Crosstown Dr Ste 257
Peachtree City, GA 30269-2948
Phone (678) 371-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB2017024 | Other | GA | LAND AMBULANCE LICENSE |
Other names 1
- Trust Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181016002560 | GA | Part B Supplier - Ambulance Service Supplier | 4284986423 | Practice locations: Jonesboro, GA |
National Provider Directory
National Provider DirectoryLocations
2839 Mount Zion Rd
Jonesboro, GA 30236
Phone (678) 371-8818
1095 Henry Pkwy Connector
Ste B
McDonough, GA 30253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571184000000",
"number": "1578065595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 CROSSTOWN DR STE 257",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302692948",
"telephone_number": "678-371-8818",
"fax_number": "678-364-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2839 MOUNT ZION RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302366822",
"telephone_number": "678-371-8818",
"fax_number": "678-364-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-06",
"last_updated": "2019-10-16",
"status": "A",
"authorized_official_last_name": "SABBAGH",
"authorized_official_first_name": "NABIH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-371-8818",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "GA",
"license": "AMB2017024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAND AMBULANCE LICENSE",
"identifier": "AMB2017024",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trust Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trust Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.