MR. JONATHAN PACE


Address: 4683 Redan Rd, Stone Mountain, GA 30083
Phone: 6784925466

MR. JONATHAN PACE (NPI# 1790247070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790247070
Entity Type Individual
Full Name MR. JONATHAN PACE
Credential EMT-I
Practice Address 4683 Redan Rd
Stone Mountain
GA 30083
Practice Telephone 6784925466
Mailing Telephone 6784925466
Enumeration Date 2019-04-04
Last Update Date 2019-04-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146M00000X Emergency Medical Technician, Intermediate I042897 GA Emergency Medical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA NA I042897 01

Other Providers JONATHAN PACE

NPI Name Taxonomy Address Enumeration
1477997971 Jonathan Robert Pace Neurological Surgery 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 2013-04-26
1477539831 Jonathan Pace Surgery 210 Canal St, King City, CA 93930-3432 2005-12-19

Office Location

Street Address 4683 REDAN RD
City STONE MOUNTAIN
State GA
Zip Code 30083

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710403431 Trans Med Ems,llc Ambulance 4683 Redan Rd, Stone Mountain, GA 30083 2017-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558830919 Patriot Healthcare of Georgia, LLC Family Medicine 833 Hairston Road, Stone Mountain, GA 30083 2018-11-15
1447770482 Dispatched Angels Home Care In Home Supportive Care 619 El Prado Court, Stone Mountain, GA 30083 2017-06-21
1396191086 Suzanne Carter Chore Provider 1036 Allgood Rd, Stone Mountain, GA 30083 2016-05-11
1437520087 Meaza Dada Pharmacist 1043 Thornwoode Lane, Stone Mountain, GA 30083 2015-10-08
1427436500 Raeanne Elizabeth Gialanella Occupational Therapist 5839 Memorial Drive, Stone Mountain, GA 30083 2015-05-11
1265829824 Latore Williams Licensed Practical Nurse 5300 Ridge Forest Drive, Stone Mountain, GA 30083 2015-04-22
1144625922 Granville Theodore Freeman IIi Counselor 5000 Brittany Drive, Stone Mountain, GA 30083 2014-10-23
1588974208 Terri R Collins Counselor 1020 Strap Hinge Trail, Stone Mountain, GA 30083 2010-10-15
1104064815 Vistas Medical Center,pc Clinic/Center 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 2009-02-03
1578720470 Gary L Howard Technician/Technologist 5615 #g Memorial Drive, Stone Mountain, GA 30083 2008-05-19
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Taxonomy Information

Taxonomy Code 146M00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Intermediate

Taxonomy Definition

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487210704 Andre Grant Emergency Medical Technician, Intermediate 2136 W Park Ct Ste B, Stone Mountain, GA 30087-3528 2019-05-13
1750800058 Shawn Anthony Moore Emergency Medical Technician, Intermediate 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083-2857 2017-09-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346850856 Christopher Lee Bailey Emergency Medical Technician, Intermediate 1893 Lathrop St Se, Atlanta, GA 30315-6917 2020-08-10
1881214872 Roger Lee Jackson II Emergency Medical Technician, Intermediate 713 Clifton Rd Se, Atlanta, GA 30316-2229 2020-04-20
1760944334 Arelious Dunn Emergency Medical Technician, Intermediate 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 2019-04-03
1811488836 Jeffrey Touchberry Emergency Medical Technician, Intermediate 217 Lovebridge Dr Se, Calhoun, GA 30701-4800 2018-05-24
1689101479 Pamela Olivia Dugar Emergency Medical Technician, Intermediate 3117 Deans Bridge Rd, Augusta, GA 30906-3379 2017-05-11
1457890824 James Richard Dow II Emergency Medical Technician, Intermediate 1453 Wood Park Way Nw, Kennesaw, GA 30152-4670 2017-02-18
1023566387 Kalli Pelar Coleman Addison Emergency Medical Technician, Intermediate 131 Cypress Ln, Eatonton, GA 31024-7567 2016-09-15
1437567385 Anthony Quinn Hodge Emergency Medical Technician, Intermediate 4035 Jonesboro Rd Ste 240, Forest Park, GA 30297-1035 2014-07-23
1720353642 Santos Efrain Ortiz Emergency Medical Technician, Intermediate 4761 Pauline Rd, Douglasville, GA 30135-4575 2012-03-09
1760634059 Dbhg Enterprises LLC Emergency Medical Technician, Intermediate 5700 Hillandale Dr Bldg 200, Suite 210, Lithonia, GA 30058-4103 2008-10-17
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Competitor

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City STONE MOUNTAIN
Zip Code 30083

Improve Information

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Dataset Information

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.

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