Active NPI
Lifeline Emergency Medical Services, LLC.
- Ambulance
- Carrollton, GA
National Provider Identifier
1710451000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.