AIR EVAC EMS INC (NPI# 1447569009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447569009 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
16722 Highway 67 Statesboro GA 30458-2452 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 9124896481 |
| Practice Fax Number | 9124891145 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2010-09-30 |
| 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 |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Air Evac Lifeteam | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609131051 | Air Evac Ems Inc | Ambulance | 1619 S Locust Ave, Lawrenceburg, TN 38464-0000 | 2012-07-11 |
| 1265795728 | Air Evac Ems Inc | Ambulance | 200 Old Timers Road, Manchester, KY 40962-7507 | 2012-06-20 |
| 1598021644 | Air Evac Ems Inc | Ambulance | 1113 Medical Center Drive, Mayfield, KY 42066-1194 | 2012-04-03 |
| 1972877538 | Air Evac Ems Inc | Ambulance | 550 Firehouse Drive, St Louisville, OH 43071-0000 | 2012-02-29 |
| 1578835153 | Air Evac Ems Inc | Ambulance | 1020 S Cedar Ave, Demopolis, AL 36732-3308 | 2012-01-30 |
| 1558646547 | Air Evac Ems Inc | Ambulance | 1716 South 5th Street, Mcallen, TX 78503-0000 | 2011-10-21 |
| 1295029296 | Air Evac Ems Inc | Ambulance | 2929 Lancaster Thornville Road Ne, Lancaster, OH 43130-8547 | 2011-06-07 |
| 1679867261 | Air Evac Ems Inc | Ambulance | 266 Highway 3048, Rayville, LA 71269-3624 | 2011-06-01 |
| 1598056046 | Air Evac Ems Inc | Ambulance | 10 Roux 61 Drive, Natchez, MS 39120 | 2011-05-02 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| Street Address |
16722 HIGHWAY 67 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.