Organization Active NPI

Faith Medical Services

Doing business as Julie Martin

  • Land Ambulance
  • Gainesville, GA
National Provider Identifier
1902191935
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
069-022 Issued in GA
Legal business name
FAITH MEDICAL SERVICES
Doing business as
Julie Martin
Practice address
955 J2 Interstate Ridge Drive
Gainesville, GA 30501
Phone
(770) 533-2673
Fax
(770) 534-6843
NPI assigned
Jun 17, 2011
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FAITH MEDICAL AMBULANCE SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Mrs. Julie Ann Martin
Title
Owner
Phone
77053332673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 069-022 GA Primary
Non-emergency Medical Transport (VAN) 343900000X GA

Addresses

Primary practice location

955 J2 Interstate Ridge Drive
Gainesville, GA 30501

Mailing address

955 J2 Interstate Ridge Drive
Gainesville, GA 30501
Phone (770) 533-2673

Other names 1

  • JULIE MARTIN Doing business as

National Provider Directory

National Provider Directory
Part of
Faith Medical Services

Locations

124 High St SE
Ste I
Gainesville, GA 30501
Phone (770) 318-1667

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1902191935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 J2 INTERSTATE RIDGE DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-533-2673",
            "fax_number": "770-534-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 J2 INTERSTATE RIDGE DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-533-2673",
            "fax_number": "770-534-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH MEDICAL AMBULANCE SERVICE",
        "enumeration_date": "2011-06-17",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "77053332673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "069-022",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JULIE MARTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.