MEDICARE: MARKSMEN EMS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1164389649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARKSMEN EMS, LLC

Provider Business Mailing Address
First Line	:	1911 S HIGHWAY 129
Second Line	:
City	:	STOCKTON
State	:	GA
Zip	:	31649-1643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 FULWOOD BLVD
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-3832
Country	:	US
Telephone Number	:	269-357-4568
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADAM PEISKER
Credential	:
Telephone Number	:	269-357-4568

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “MARKSMEN EMS, LLC ” Practice Location

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