Active NPI
Metro Atlanta Ambulance Services Inc
- Ambulance
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03341
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590014776 | Other | GA | RAILROAD MEDICARE |
| 000910555A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.