Organization Active NPI

A -Plus Ambulance LLC

  • Land Ambulance
  • Norcross, GA
National Provider Identifier
1992247688
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AMB2016018 Issued in GA
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

Updated by the provider on Sep 9, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20170511001014 GA Part B Supplier - Ambulance Service Supplier 6709163116 Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.