Medstat Emergency Medical Services, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

060-52 Issued in GA

Legal business name

MEDSTAT EMERGENCY MEDICAL SERVICES, INC.

Practice address

2975 Metropolitan Pkwy SW
Suite a
Atlanta, GA 30315-7917

Phone

(404) 763-2273

Fax

(404) 305-9626

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vernon Devon Hill, EMT-PARAMEDIC

Title

Vice President and Director

Phone

(404) 763-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1982649877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962170",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966918",
            "telephone_number": "404-763-2273",
            "fax_number": "404-305-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 METROPOLITAN PKWY SW",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157917",
            "telephone_number": "404-763-2273",
            "fax_number": "404-305-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "VICE PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "404-763-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "060-52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000372039A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "85057759AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Atlanta, GA
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• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.