Spartan EMS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SPARTAN EMS LLC

Practice address

3455 Leisure LN
Gainesville, GA 30506-3715

Phone

(770) 530-4355

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Mark Sean HulseyNPI 1568818342

Title

Owner

Phone

(770) 530-4355

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Hulsey

  • Paramedic
  • Gainesville, GA
  • NPI 1568818342
  NPD (past) Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1760146252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LEISURE LN",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063715",
            "telephone_number": "770-530-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LEISURE LN",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063715",
            "telephone_number": "770-530-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HULSEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-530-4355"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gainesville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3455 Leisure Ln",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305063715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ambulance in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Ambulance in Georgia

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