Active NPI
American Medical Response Mid-Atlantic, Inc.
- Ambulance
- Hampton, VA
National Provider Identifier
1861818965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- AMERICAN MEDICAL RESPONSE MID-ATLANTIC, INC.
- Practice address
- 5000 Incubator Rd
Hampton, VA 23661-1347 - Phone
- (757) 826-7828
- NPI assigned
- Mar 13, 2014
- 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
- Timothy Joseph Dorn
- Title
- Chief Administrative Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
5000 Incubator Rd
Hampton, VA 23661-1347
Mailing address
PO Box 100296
Atlanta, GA 30384-0296
Phone (800) 913-9106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140711001818 | VA | Part B Supplier - Ambulance Service Supplier | 9133179716 | Practice locations: Hampton, VA; Richmond, VA; Salem, VA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba American Medical Response
- Ambulance
- Elkridge, MD
- NPI 1083719801
9133179716
National Provider Directory
National Provider Directory- Tax ID family
- American Medical Response Amr
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba American Medical Response (AMR)
- Ambulance
- Carneys Point, NJ
- NPI 1528163557
-
dba American Medical Response (AMR)
- Ambulance
- Egg Harbor TWP, NJ
- NPI 1710910633
Locations
5000 Incubator Rd
Hampton, VA 23661
Phone (757) 826-7828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1861818965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100296",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840296",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 INCUBATOR RD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236611347",
"telephone_number": "757-826-7828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN MEDICAL RESPONSE MID-ATLANTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-13",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "DORN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
- Amazing Nurses Home Care LLC
- Ambulatory Foot & Ankle Center, P.C.
- Amedisys Home Health of Virginia LLC (Amedisys Home Health of Chesapeake)
- American Current Care P.a. (Concentra Urgent Care)
- American Foot & Ankle Center
- Janelle Amezcua, LCSW
- Amizen Home Care
- Amizen Home Care LLC
- Emmanuel Kwesi Amoah, DDS
- Caitlyn Amor, PHARMD, BCPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.