Southern Care EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHERN CARE EMS LLC

Practice address

4010 Northside Dr Ste F
Macon, GA 31210-1692

Phone

(404) 379-7605

Fax

(229) 888-6876

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By 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

Effren Bigham

Title

Owner

Phone

(404) 500-1039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1649744459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2773",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302982773",
            "telephone_number": "404-379-7605",
            "fax_number": "229-888-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NORTHSIDE DR STE F",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101692",
            "telephone_number": "404-379-7605",
            "fax_number": "229-888-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "EFFREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-500-1039"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Surgical Oncology
• Southeastern Urology Associates
• Southern Anesthesia Consultants of Ga, LLC
• Southern Anesthesia Consultants, LLC
• Southern Augmentation Limited Company
• Southern Diagnostic Pathology PC
• Southern Elderly Home Care Service
• Southern Family Markets LLC (Southern Family Market)
• Southern Home Care
• Southern Home Care Services, Inc.

• Land Ambulance in Macon, GA
• Providers in Macon, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.