MEDICARE: ATLAS AIR AMBULANCE 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	3416A0800X	Air Ambulance

General Provider Information

NPI Number	:	1568212108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS AIR AMBULANCE LLC

Provider Business Mailing Address
First Line	:	746 WRIGHT BROTHERS DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-8420
Country	:	US
Telephone Number	:	844-650-7322
Fax Number	:	336-791-0196

Provider Business Practice Location Address
First Line	:	746 WRIGHT BROTHERS DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-8420
Country	:	US
Telephone Number	:	844-650-7322
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACKSON SKIGEN
Credential	:
Telephone Number	:	844-650-7322

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	04/14/2026

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Directions to “ATLAS AIR AMBULANCE LLC ” Practice Location

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