SOUTHERN PRESTIGE EMS, LLC (NPI# 1457764557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457764557 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PRESTIGE EMS, LLC |
| Practice Address |
613 Lake Shore Dr Morganton GA 30560-3561 |
| Practice Telephone | 7066330730 |
| Mailing Telephone | 7066330730 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | DAVID RYAN MCDARIS (CEO/PARAMEDIC) |
| Authorized Official Telephone | 7066333819 |
| Authorized Official Credential | PARAMEDIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
GA | Transportation Services |
| Street Address |
613 LAKE SHORE DR |
| City | MORGANTON |
| State | GA |
| Zip Code | 30560-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700107042 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | Highway 76 F 10909, Morganton, GA 30560 | 2010-06-22 |
| 1598797441 | Frances L Sparti | Nurse Practitioner | 75 Bypass Road, Morganton, GA 30560 | 2006-07-07 |
| 1396809489 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 9303 Norvell Ln, Morganton, GA 30560-1814 | 2006-12-21 |
| 1831243161 | Angel Air Inc | Durable Medical Equipment & Medical Supplies | 458 Forge Mill Rd, Morganton, GA 30560-3227 | 2007-01-23 |
| 1417444753 | Amanda Brendle Long | Nurse Practitioner | 857 Aster Ln, Morganton, GA 30560-3256 | 2018-04-20 |
| 1639560659 | Janet Wooten | Technician/Technologist | 106 Maple St, Morganton, GA 30560-3716 | 2015-02-12 |
| 1760759898 | Martin K Wooten Od Pa | Optometrist | 106 Maple St, Morganton, GA 30560-3716 | 2011-11-17 |
| 1225508278 | Blue Ridge Medical Transport | Ambulance | 16658 Morganton Hwy, Morganton, GA 30560-4144 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1902416258 | Dustin Lee Wood | Registered Nurse | 303 E Concord St, Morganton, NC 28655-3409 | 2020-08-02 |
| 1609484823 | Healing Nutrition LLC | Dietitian, Registered | 3115 River Rd, Morganton, NC 28655-6263 | 2020-07-14 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1649893710 | Deleah Marie Woody | Doula | 2389 Peeler St, Morganton, NC 28655-6946 | 2020-05-24 |
| 1649892530 | Morganton Opco II LLC | Non-emergency Medical Transport (VAN) | 151 Southview St, Morganton, NC 28655-2900 | 2020-05-13 |
| 1134749773 | Mandy H Nix | Dietitian, Registered | 3149 River Rd, Morganton, NC 28655-6263 | 2020-04-23 |
| 1245859099 | Kelly A Buchanan | Homeopath | 2324 Nc 181, Morganton, NC 28655-6714 | 2020-04-12 |
| 1710513825 | Douglas Johnson | Hearing Instrument Specialist | 321 Sanford Dr, Morganton, NC 28655-2555 | 2020-03-20 |
| Find all providers in MORGANTON | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508278 | Blue Ridge Medical Transport | Ambulance | 16658 Morganton Hwy, Morganton, GA 30560-4144 | 2018-12-03 |
| 1538291760 | County of Burke | Ambulance | 200 Avery Ave, Morganton, NC 28655-3158 | 2007-03-12 |
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| 1750908372 | 1st Class Ambulance | Ambulance | 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 | 2020-06-30 |
| 1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
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| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.