Active NPI
Open Arms EMS
- Land Ambulance
- McDonough, GA
National Provider Identifier
1952754129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- AMB2016007
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659723054 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.