Active NPI
Alliance Healthcare Systems LLC
- Non-emergency Medical Transport (VAN)
- Johns Creek, GA
National Provider Identifier
1649715459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- ALLIANCE HEALTHCARE SYSTEMS LLC
- Practice address
- 5405 N Hillbrooke Trce
Johns Creek, GA 30005-7238 - Phone
- (404) 427-3457
- NPI assigned
- Jan 3, 2017
- Last updated
- Sep 4, 2024
- 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. Aubrey M Jackson
- Title
- President
- Phone
- (404) 427-4357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | GA | ||
| Non-emergency Medical Transport (VAN) | 343900000X | GA | Primary |
Addresses
Primary practice location
5405 N Hillbrooke Trce
Johns Creek, GA 30005-7238
Mailing address
5405 N Hillbrooke Trce
Johns Creek, GA 30005-7238
Phone (404) 427-3457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240515004440 | GA | Part B Supplier - Ambulance Service Supplier | 5294000626 | Practice locations: Calhoun, GA |
National Provider Directory
National Provider DirectoryLocations
202 Professional Ct SE
#C
Calhoun, GA 30701
Phone (470) 375-8981
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Durable Medical Equipment & Medical Supplies
- Johns Creek, GA
- NPI 1184169997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1649715459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 N HILLBROOKE TRCE",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300057238",
"telephone_number": "404-427-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 N HILLBROOKE TRCE",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300057238",
"telephone_number": "404-427-3457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE HEALTHCARE SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-03",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "AUBREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-427-4357",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
- Mitchel C Alex
- Zahra Ali
- Britney Alibey
- Diana Maria Alizadeh, MD
- All Loving Hands With Caring Hearts Home Care LTD
- Alpha Nutrition & Wellness Center, LLC (Alpharetta Diagnostics Lab)
- Alpharetta Medical Wellness
- Vivian Nicole Amaya
- American Current Care PA (Concentra Urgent Care)
- American Endocrine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.