Healthcare Provider Details

I. General information

NPI: 1639462476
Provider Name (Legal Business Name): AMERIMED EMERGENCY MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5012 BRISTOL INDUSTRIAL WAY STE. 110
BUFORD GA
30518-9050
US

IV. Provider business mailing address

PO BOX 1853
BUFORD GA
30515-8853
US

V. Phone/Fax

Practice location:
  • Phone: 678-546-8110
  • Fax:
Mailing address:
  • Phone: 678-546-8110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateGA

VIII. Authorized Official

Name: BRITTANY MOORE
Title or Position: PATIENT ACCOUNTING SUPERVISOR
Credential:
Phone: 678-546-8110