Organization Active NPI

Pinnacle Ambulance LLC

  • Ambulance
  • Jonesboro, GA
National Provider Identifier
1578065595
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
AMB2017024 Issued in GA
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

Updated by the provider on Oct 16, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AMB2017024OtherGALAND AMBULANCE LICENSE

Other names 1

  • Trust Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181016002560 GA Part B Supplier - Ambulance Service Supplier 4284986423 Practice locations: Jonesboro, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.