Healthcare Provider Details

I. General information

NPI: 1497543227
Provider Name (Legal Business Name): PHOENIX AIR GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PHOENIX AIR DR SW
CARTERSVILLE GA
30120-6896
US

IV. Provider business mailing address

100 PHOENIX AIR DR SW
CARTERSVILLE GA
30120-6896
US

V. Phone/Fax

Practice location:
  • Phone: 770-387-2000
  • Fax: 770-387-4545
Mailing address:
  • Phone: 770-387-2000
  • Fax: 770-387-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: DENT M THOMPSON
Title or Position: SENIOR VICE PRESIDENT & CHIEF OPERA
Credential:
Phone: 770-387-2000