AIR EVAC EMS INC. (NPI# 1043507551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043507551 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
661 County Farm Rd Dublin GA 31021-1805 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 4782757613 |
| Practice Fax Number | 4782772929 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-09-26 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | AIR EVAC EMS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
148A01 | GA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Air Evac Lifeteam | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1134545858 | Air Evac Ems Inc. | Ambulance | 1374 E Highway 24, Moberly, MO 65270-0000 | 2014-03-06 |
| 1760815633 | Air Evac Ems Inc. | Ambulance | 9614 Interstate 20, Eastland, TX 76448-0000 | 2013-08-15 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1265774780 | Air Evac Ems Inc. | Ambulance | 1818 Woodland Dr, Ironton, OH 45638-2344 | 2013-03-22 |
| 1417235896 | Air Evac Ems Inc. | Ambulance | 84 Mable Ln, Summersville, WV 26651-9325 | 2011-08-02 |
| 1215224720 | Air Evac Ems Inc. | Ambulance | 1002 Aviation Blvd, Williamsburg, KY 40769-0000 | 2011-07-05 |
| 1891091146 | Air Evac Ems Inc. | Ambulance | 1843 River Road, Chillicothe, OH 45601-0000 | 2011-02-03 |
| 1083910335 | Air Evac Ems Inc. | Ambulance | 1118 Union Street, Portsmouth, OH 45662-0000 | 2011-02-03 |
| 1992018212 | Air Evac Ems Inc. | Ambulance | 2010 E Hillside Rd Ste 2, Laredo, TX 78041-3823 | 2010-07-15 |
| Street Address |
661 COUNTY FARM RD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980650 | Air Evac Ems, Inc. | Ambulance | 125 Promenade Pkwy, Fayetteville, GA 30214-7712 | 2020-01-03 |
| 1912472796 | Air Evac Ems, Inc. | Ambulance | 1116 Morningside Dr, Perry, GA 31069-2906 | 2018-10-09 |
| 1194247932 | Rocky Mountain Holdings, LLC | Ambulance | 459 John T Lane Rd, Thomson, GA 30824-6739 | 2017-07-13 |
| 1184162943 | Air Evac Ems, Inc. | Ambulance | 131 Britt Waters Rd Nw, Milledgeville, GA 31061-9664 | 2017-02-01 |
| 1730622838 | Air Evac Ems, Inc. | Ambulance | 304 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-11-22 |
| 1194061036 | Med-trans Corporation | Ambulance | 1510 Hangar Rd, Suite A, Augusta, GA 30906-9624 | 2012-12-21 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1063785871 | Rocky Mountain Holdings LLC | Ambulance | 1728 Airport Dr, Ball Ground, GA 30107 | 2012-02-10 |
| 1861778052 | Rocky Mountain Holdings LLC | Ambulance | Bldg 2485, Jecelin St, Fort Benning, GA 31905 | 2011-11-01 |
| 1285919167 | Rocky Mountain Holdings LLC | Ambulance | 1775 Highland Ave, Augusta, GA 30904 | 2011-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.