AIR EVAC EMS INC. (NPI# 1881924066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881924066 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
195 Thomas Frier Dr Douglas GA 31535-4011 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 8772885340 |
| Practice Fax Number | 4172575761 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2010-01-11 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1043507551 | Air Evac Ems Inc. | Ambulance | 661 County Farm Rd, Dublin, GA 31021-1805 | 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 |
| Street Address |
195 THOMAS FRIER DR |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31535-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740423268 | Lacey N Yeomans | Speech-Language Pathologist | 3891 Quail Hollow Village, Douglas, GA 31535 | 2009-04-14 |
| 1689946808 | Dorothy Dixon | Community/Behavioral Health | 552 Creekwood Rd, Douglas, GA 31535-1918 | 2012-02-03 |
| 1912549353 | Monica Sherise Dill | Case Manager/Care Coordinator | 566 Forest Hills Dr, Douglas, GA 31535-2420 | 2019-10-16 |
| 1407491467 | Aretha Mizell | Contractor | 925 Kamera Rd, Douglas, GA 31535-4345 | 2019-11-14 |
| 1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
| 1164049615 | Bonnie Dee Whitfield | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-07-01 |
| 1851991095 | Smart Choice Nutrition | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-10-27 |
| 1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1194140103 | Kaczor Enterprises Inc | Ambulance | 55 Dellmonte Rd, Douglas, GA 31535-6135 | 2014-02-27 |
| Find all providers in zip 31535 | ||||
| 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 |
|---|---|---|---|---|
| 1518983774 | Med-trans Corporation | Ambulance | 3200 E 10th St, Douglas, AZ 85607-2745 | 2006-07-14 |
| 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.