Sky Life EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SKY LIFE EMS INC

Practice address

2385 Wall St SE
Suite 208 B
Conyers, GA 30013-2187

Phone

(678) 210-2694

Fax

(678) 964-2338

NPI assigned

Aug 3, 2015

Last updated

Feb 29, 2016By 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

Issiah Mgendi

Title

Owner

Phone

(678) 210-2694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1689050502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 WALL ST SE",
            "address_2": "SUITE 208 B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132187",
            "telephone_number": "678-210-2694",
            "fax_number": "678-964-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 WALL ST SE",
            "address_2": "SUITE 208 B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132187",
            "telephone_number": "678-210-2694",
            "fax_number": "678-964-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY LIFE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "MGENDI",
        "authorized_official_first_name": "ISSIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-210-2694"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Douglas Robert Slavin, PH.D.
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• Smile Dental Group of Conyers PC
• Lisa Ann Smiley, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.