Active NPI
Metro Ambulance Services Inc
- Ambulance
- Stone Mountain, GA
National Provider Identifier
1962452870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- METRO AMBULANCE SERVICES INC
- Practice address
- 1380 Beverage Dr Ste D
Stone Mountain, GA 30083-2133 - Phone
- (678) 537-6850
- Fax
- (770) 938-2799
- NPI assigned
- May 11, 2006
- 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
- Timothy Joseph Dorn
- Title
- Chief Administrative Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
1380 Beverage Dr Ste D
Stone Mountain, GA 30083-2133
Mailing address
PO Box 198408
Atlanta, GA 30384-8408
Phone (800) 913-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000065546A | Medicaid | GA |
Other names 2
- American Medical Response
- American Medical Response of Georgia, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326000628 | GA | Part B Supplier - Ambulance Service Supplier | 6305738196 | Practice locations: Brookhaven, GA; Stone Mountain, GA |
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 |
|---|---|---|---|
| 11D0863082 | Metro Ambulance Services Incorporated | Certificate of waiver | Jun 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
3249 Buford Hwy NE
Brookhaven, GA 30329
Phone (678) 537-6850
3292 Buford Hwy NE
Brookhaven, GA 30329
Phone (678) 533-0034
1305 Chastain Rd NW
Ste 400
Kennesaw, GA 30144
Phone (678) 290-7046
75 Newnan South Industrial Dr
Newnan, GA 30263
Phone (770) 252-3369
1380 Beverage Dr
Ste D
Stone Mtn, GA 30083
Phone (678) 537-6850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1962452870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198408",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848408",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 BEVERAGE DR STE D",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300832133",
"telephone_number": "678-537-6850",
"fax_number": "770-938-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO AMBULANCE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "DORN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000065546A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "American Medical Response",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Medical Response of Georgia, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.