Organization Active NPI

Metro Ambulance Services Inc

  • Ambulance
  • Stone Mountain, GA
National Provider Identifier
1962452870
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Sep 16, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000065546AMedicaidGA

Other names 2

  • American Medical Response Doing business as
  • American Medical Response of Georgia, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000628 GA Part B Supplier - Ambulance Service Supplier 6305738196 Practice locations: Brookhaven, GA; Stone Mountain, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0863082Metro Ambulance Services Incorporated1380 Beverage Drive, Suite D, Stone Mountain, GA 30083Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.