Organization Active NPI

Lifeline Emergency Medical Services, LLC.

  • Ambulance
  • Carrollton, GA
National Provider Identifier
1710451000
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LIFELINE EMERGENCY MEDICAL SERVICES, LLC.
Practice address
309 Matthews Ave Ste B
Carrollton, GA 30117-3629
Phone
(404) 698-9653
NPI assigned
Jan 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Pamela A Thompson
Title
Ao
Phone
(678) 890-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

309 Matthews Ave Ste B
Carrollton, GA 30117-3629

Mailing address

PO Box 812
Carrollton, GA 30112-0015
Phone (404) 698-9653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1710451000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301120015",
            "telephone_number": "404-698-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MATTHEWS AVE STE B",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173629",
            "telephone_number": "404-698-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE EMERGENCY MEDICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "678-890-1411"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.