1Legacy EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

1LEGACY EMS LLC

Practice address

2160 Kingston CT SE
Marietta, GA 30067-8951

Phone

(404) 509-6711

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex James Williams Jr., PARAMEDIC

Title

Ceo

Phone

(404) 509-6711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1881255289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 ESTATE CLUB CIR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755557",
            "telephone_number": "404-509-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 KINGSTON CT SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678951",
            "telephone_number": "404-509-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1LEGACY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-509-6711",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.