Provider Demographics
NPI:1255140901
Name:GEORGIA MEDICAL EMS LP
Entity type:Organization
Organization Name:GEORGIA MEDICAL EMS LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUITIVE OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-779-0433
Mailing Address - Street 1:17000 BISSONNET ST APT 1315
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3669
Mailing Address - Country:US
Mailing Address - Phone:678-779-0433
Mailing Address - Fax:
Practice Address - Street 1:2295 PARKLAKE DR NE STE 557
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2951
Practice Address - Country:US
Practice Address - Phone:678-779-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)