Tri Star Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

033-49 Issued in GA

Legal business name

TRI STAR AMBULANCE LLC

Practice address

5900 Maxham Rd
Suite 13
Austell, GA 30168-4258

Phone

(404) 966-5553

Fax

(770) 745-6491

NPI assigned

Jul 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Naief Abukhalid

Title

Ceo

Phone

(404) 966-5553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278288000000",
    "number": "1881906063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MAXHAM RD",
            "address_2": "SUITE 13",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684258",
            "telephone_number": "404-966-5553",
            "fax_number": "770-745-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MAXHAM RD",
            "address_2": "SUITE 13",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684258",
            "telephone_number": "404-966-5553",
            "fax_number": "770-745-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A",
        "authorized_official_last_name": "ABUKHALID",
        "authorized_official_first_name": "NAIEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-966-5553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "033-49",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Townsend
• Tiffany Leeann Townsend
• Melissa Trahan, PHARMD
• Shannon A Traywick, LPC
• Antwan Londell Treadway, D.M.D.
• Trucquynh Truong
• Alana Tucker
• Linda Turberville-Trujillo, NP
• Takiyah Johnson Turks, APRN
• Jasmine Turner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.