Organization Active NPI

Open Arms EMS

  • Land Ambulance
  • McDonough, GA
National Provider Identifier
1952754129
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AMB2016007 Issued in GA
Legal business name
OPEN ARMS EMS
Practice address
1350 S Zack Hinton Pkwy
McDonough, GA 30253-3361
Phone
(470) 278-1001
Fax
(470) 278-1039
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Robert T Graves, PARAMEDIC
Title
Owner
Phone
(770) 823-7940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AMB2016007 GA Primary

Addresses

Primary practice location

1350 S Zack Hinton Pkwy
McDonough, GA 30253-3361

Mailing address

1350 S Zack Hinton Pkwy
McDonough, GA 30253-3361
Phone (470) 278-1001

Other identifiers 1

IdentifierTypeStateIssuer
1659723054MedicaidGA

National Provider Directory

National Provider Directory

Locations

1350 S Zack Hinton Pkwy
McDonough, GA 30253
Phone (470) 278-1001

1350 S Zack Hinton Pkwy
Ste D
McDonough, GA 30253
Phone (470) 278-1001

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1952754129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ZACK HINTON PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533361",
            "telephone_number": "470-278-1001",
            "fax_number": "470-278-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ZACK HINTON PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533361",
            "telephone_number": "470-278-1001",
            "fax_number": "470-278-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-823-7940",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "AMB2016007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659723054",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.