Critical Care Medflight

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

CRITICAL CARE MEDFLIGHT

Practice address

530 Briscoe Blvd
Lawrenceville, GA 30045-4637

Phone

(770) 513-9148

Fax

(770) 513-0249

NPI assigned

May 11, 2007

Last updated

Aug 22, 2020By 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

Jeff Gustafson

Title

Medflight Director

Phone

(770) 513-9148

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649485046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BRISCOE BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454637",
            "telephone_number": "770-513-9148",
            "fax_number": "770-513-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BRISCOE BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454637",
            "telephone_number": "770-513-9148",
            "fax_number": "770-513-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE MEDFLIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MEDFLIGHT DIRECTOR",
        "authorized_official_telephone_number": "770-513-9148"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Melia Crawley, LPC
• Creative Enterprises, Inc.
• Crelvis, Inc. (Lawrenceville Therapy and Wellness Center)
• Savanna Crisler
• Critical Care Air, LLC (Critical Care MedFlight)
• Nichole Crocker, MCD CCC SLP
• Ashley Parker Croker, PA-C
• Kaley Cronheim
• Christopher Scott Crooker, M.D.
• Lori Crosmer, MSW

• Air Ambulance in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Air Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.