Individual provider Active NPI

Cawarnest Bernard Cruse

  • Land Ambulance
  • Macon, GA
National Provider Identifier
1629926589
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Practice address
3302 Pasadena Dr
Macon, GA 31211-2729
Phone
(478) 877-3984
NPI assigned
Mar 17, 2026
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3302 Pasadena Dr
Macon, GA 31211-2729

Mailing address

3302 Pasadena Dr
Macon, GA 31211-2729
Phone (478) 877-3984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1629926589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 PASADENA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312112729",
            "telephone_number": "478-877-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 PASADENA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312112729",
            "telephone_number": "478-877-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "CAWARNEST",
        "middle_name": "BERNARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.