Organization Active NPI

Metro Atlanta Ambulance Services Inc

  • Ambulance
  • Marietta, GA
National Provider Identifier
1982674636
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03341 Issued in GA
Legal business name
METRO ATLANTA AMBULANCE SERVICES INC
Practice address
1120 Allgood Industrial CT
Marietta, GA 30066-6640
Phone
(770) 693-8484
Fax
(770) 693-8481
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Mr. Peter E Quinones
Title
Ceo Owner
Phone
(770) 693-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03341 GA Primary

Addresses

Primary practice location

1120 Allgood Industrial CT
Marietta, GA 30066-6640

Mailing address

PO Box 4130
Marietta, GA 30061-4130
Phone (770) 693-8484

Other identifiers 2

IdentifierTypeStateIssuer
590014776OtherGARAILROAD MEDICARE
000910555AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040503000888 GA Part B Supplier - Ambulance Service Supplier 3779571401 Practice locations: Hiram, GA; Marietta, GA; Loganville, GA; Lawrenceville, GA; Kingston, GA; Jasper, GA; Forest Park, GA; Emerson, GA…
O20201214002117 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3779571401 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

14 Legacy Way
Ste B
Adairsville, GA 30103
Phone (770) 773-9902

6793 Highway 140 NW
Adairsville, GA 30103
Phone (770) 877-9028

1818 Briarwood Industrial Ct NE
Brookhaven, GA 30329
Phone (404) 417-0811

130 Fire Tower Rd NW
Cartersville, GA 30120
Phone (770) 382-9559

260 International Pkwy
Ste 116
Dallas, GA 30157
Phone (770) 693-8484

115 Braswell Mountain Rd
Dallas, GA 30132
Phone (770) 222-7191

260 International Pkwy
Ste 100
Dallas, GA 30157
Phone (770) 445-2151

43 4th St
Emerson, GA 30137
Phone (770) 387-5182

114 Southfield Pkwy
Ste 110
Forest Park, GA 30297
Phone (404) 975-3657

98 Dean Goss Dr
Ste 105
Jasper, GA 30143
Phone (770) 693-8447

1212 Euharlee Rd
Kingston, GA 30145
Phone (770) 387-5038

5155 Sugarloaf Pkwy
Ste K
Lawrenceville, GA 30043
Phone (678) 240-2860

1725 Macleod Dr
Ste M
Lawrenceville, GA 30043
Phone (770) 693-8480

76 Bay Creek Rd
Loganville, GA 30052
Phone (770) 693-8447

1120 Allgood Industrial Ct
Marietta, GA 30066
Phone (770) 593-8484

137 S Fairground St SE
Marietta, GA 30060
Phone (770) 693-8480

595 Armstrong St SE
Marietta, GA 30060

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1982674636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300614130",
            "telephone_number": "770-693-8484",
            "fax_number": "770-693-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ALLGOOD INDUSTRIAL CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666640",
            "telephone_number": "770-693-8484",
            "fax_number": "770-693-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ATLANTA AMBULANCE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "770-693-8445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "03341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014776",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000910555A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.