Organization Active NPI

University EMS

  • Land Ambulance
  • Fayetteville, GA
National Provider Identifier
1942568472
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UNIVERSITY EMS
Practice address
11942 Spring Lake Way
Fayetteville, GA 30215-8507
Phone
(404) 729-3371
Fax
(678) 817-4175
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Mr. Paul Lawrence Lyons III
Title
Ceo
Phone
(404) 729-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

11942 Spring Lake Way
Fayetteville, GA 30215-8507

Mailing address

11942 Spring Lake Way
Fayetteville, GA 30215-8507
Phone (404) 729-3371

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1942568472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11942 SPRING LAKE WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158507",
            "telephone_number": "404-729-3371",
            "fax_number": "678-817-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11942 SPRING LAKE WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158507",
            "telephone_number": "404-729-3371",
            "fax_number": "678-817-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-729-3371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.