Organization Active NPI

Cornerstone EMS LLC

  • Ambulance
  • Winterville, GA
National Provider Identifier
1891183232
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CORNERSTONE EMS LLC
Practice address
115 Picasso Dr
Winterville, GA 30683-4378
Phone
(470) 201-7196
Fax
(404) 480-4177
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Michael Powell
Title
Owner
Phone
(770) 365-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

115 Picasso Dr
Winterville, GA 30683-4378

Mailing address

2380B Rockaway Industrial Blvd NW
Conyers, GA 30012-3493
Phone (470) 201-7196

National Provider Directory

National Provider Directory

Locations

2380B Rockaway Industrial Blvd NW
Conyers, GA 30012

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1891183232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380B ROCKAWAY INDUSTRIAL BLVD NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123493",
            "telephone_number": "470-201-7196",
            "fax_number": "404-480-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PICASSO DR",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306834378",
            "telephone_number": "470-201-7196",
            "fax_number": "404-480-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-365-4676"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.