City EMS of Georgia LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY EMS OF GEORGIA LLC

Practice address

165 Carnegie PL
Fayetteville, GA 30214-3905

Phone

(770) 389-3894

Fax

(770) 719-2730

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Henry B. Moree

Title

Owner

Phone

(770) 719-5337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1881821742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CARNEGIE PL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143905",
            "telephone_number": "770-389-3894",
            "fax_number": "770-719-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CARNEGIE PL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143905",
            "telephone_number": "770-389-3894",
            "fax_number": "770-719-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY EMS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MOREE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-719-5337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis E Choat, MD
• Meagan Chrisman, FNP
• Lisa Christian
• Erika Danielle Ciminnisi, RBT
• Dae'Yanna Cisero, RBT
• Aniya Clark, RBT
• Darsha Darlene Clark, LPC
• Erica Clark, LPC
• Jenise Trannell Clark, LPC
• Telisha Niketia Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.