Active NPI
A -Plus Ambulance LLC
- Land Ambulance
- Norcross, GA
National Provider Identifier
1992247688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- AMB2016018
- Legal business name
- A -PLUS AMBULANCE LLC
- Practice address
- 100 Pinnacle Way Ste 165
Norcross, GA 30071-4906 - Phone
- (770) 568-8763
- NPI assigned
- Nov 10, 2016
- 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. Mahmoud Jamal, D.O.
- Title
- Manager
- Phone
- (770) 568-8763
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | AMB2016018 | GA | Primary |
Addresses
Primary practice location
100 Pinnacle Way Ste 165
Norcross, GA 30071-4906
Mailing address
PO Box 2899
Lilburn, GA 30048-2899
Phone (770) 907-0405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170511001014 | GA | Part B Supplier - Ambulance Service Supplier | 6709163116 | Practice locations: Norcross, GA |
National Provider Directory
National Provider DirectoryLocations
3961 Floyd Rd
Ste 3001A
Austell, GA 30106
5515 Riverdale Rd
Ste C
College Park, GA 30349
5515 Riverdale Rd
Ste Ab
College Park, GA 30349
Phone (770) 568-8763
6003 Veterans Pkwy
Ste 200
Columbus, GA 31909
6531 Effingham Way
Ste H
Columbus, GA 31909
Phone (770) 568-8763
1950 Highway 85
Ste F
Jonesboro, GA 30238
100 Pinnacle Way
Ste 165
Norcross, GA 30071
Phone (678) 364-7373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1992247688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2899",
"city": "LILBURN",
"state": "GA",
"postal_code": "300482899",
"telephone_number": "770-907-0405",
"fax_number": "770-907-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PINNACLE WAY STE 165",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714906",
"telephone_number": "770-568-8763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A -PLUS AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-10",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "JAMAL",
"authorized_official_first_name": "MAHMOUD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-568-8763",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "AMB2016018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.