Active NPI
1St Class Ambulance
- Land Ambulance
- Atlanta, GA
National Provider Identifier
1750908372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- 1ST CLASS AMBULANCE
- Practice address
- 2131 Calverton LN SW
Atlanta, GA 30331-7889 - Phone
- (404) 392-0108
- NPI assigned
- Jun 30, 2020
- Last updated
- Jun 27, 2023
- 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. Dwayne Brown, PARAMEDIC
- Title
- Owner
- Phone
- (404) 392-0108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2131 Calverton LN SW
Atlanta, GA 30331-7889
Mailing address
2131 Calverton LN SW
Atlanta, GA 30331-7889
Phone (404) 392-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220126002539 | GA | Part B Supplier - Ambulance Service Supplier | 1456743319 | Practice locations: Fayetteville, GA |
National Provider Directory
National Provider DirectoryLocations
175 Walter Way
#B
Fayetteville, GA 30214
Phone (404) 392-0108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1750908372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 CALVERTON LN SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303317889",
"telephone_number": "404-392-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 CALVERTON LN SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303317889",
"telephone_number": "404-392-0108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST CLASS AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-30",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DWAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-392-0108",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- 2 Friends Transport
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- 2 Nextlevel Consulting, LLC
- 2020Atlanta PC
- 247 Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.