Active NPI
South East EMS LLC
Doing business as South East EMS
- Land Ambulance
- Nicholls, GA
National Provider Identifier
1942124607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SOUTH EAST EMS LLC
- Doing business as
- South East EMS
- Practice address
- 1009 Van Streat Hwy
Nicholls, GA 31554-5031 - Phone
- (833) 733-6727
- NPI assigned
- Aug 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale C Wood
- Title
- Co-Owner
- Phone
- (833) 733-6727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1009 Van Streat Hwy
Nicholls, GA 31554-5031
Mailing address
1009 Van Streat Hwy
Nicholls, GA 31554-5031
Other names 1
- SOUTH EAST EMS
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2345603 | South East EMS LLC | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1942124607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 VAN STREAT HWY",
"city": "NICHOLLS",
"state": "GA",
"postal_code": "315545031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 VAN STREAT HWY",
"city": "NICHOLLS",
"state": "GA",
"postal_code": "315545031",
"telephone_number": "833-733-6727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH EAST EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "833-733-6727"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTH EAST EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nicholls, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.