EMS of Georgia LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

008-03 Issued in GA

Legal business name

EMS OF GEORGIA LLC

Practice address

6478 Putnam Ford Dr.
Suite 106
Woodstock, GA 30189

Phone

(678) 661-9657

Fax

(866) 591-1509

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Perry Cobb

Title

Coo

Phone

(678) 661-9657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1831523646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6478 PUTNAM FORD DR.",
            "address_2": "SUITE 106",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "678-661-9657",
            "fax_number": "866-591-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6478 PUTNAM FORD DR.",
            "address_2": "SUITE 106",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "678-661-9657",
            "fax_number": "866-591-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-661-9657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "008-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.