Easymed EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EASYMED EMS LLC

Practice address

355 Tall Oaks Dr SE
Conyers, GA 30013-1670

Phone

(770) 389-4774

Fax

(770) 819-8001

NPI assigned

Nov 17, 2017

Last updated

Oct 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emanuel Okafor

Title

Ceo

Phone

(770) 262-2005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1629582267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TALL OAKS DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131670",
            "telephone_number": "770-268-1098",
            "fax_number": "770-819-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TALL OAKS DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131670",
            "telephone_number": "770-389-4774",
            "fax_number": "770-819-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYMED EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-262-2005"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA",
            "identifier": "G2351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.