CRITICAL CARE AMBULANCE LLC
NPI 1104616952
Ambulance - Land Transport in Conyers, GA

Active since May 06, 2025CLIA 11D2329270 · Waiver
1000 IRIS DR SW STE C1, CONYERS, GA 30094(404) 734-1094 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Critical Care Ambulance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRITICAL CARE AMBULANCE LLC (NPI 1104616952) is a healthcare organization registered as a land transport in Conyers, Georgia and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Deangelo Rowland, Owner, as its authorized official.

NPPES Registry Identity

NPI1104616952
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCRITICAL CARE AMBULANCE LLC
Location Address1000 IRIS DR SW STE C1Conyers, GA 30094-6622
Mailing Address6502 Allatoona RdMorrow, GA 30260-2702 · (404) 683-9907
Organization SubpartNo
Authorized OfficialDeangelo RowlandOwner · (404) 683-9907
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
NPI 1104616952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
1000 IRIS DR SW STE C1, Conyers, GA 30094

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2329270

Critical Care Ambulance LLC · Conyers, GA
Active · expires Aug 25, 2027
CLIA Number11D2329270
Laboratory TypeAmbulance
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorLee Wilkes
Laboratory Phone(404) 734-1094
Laboratory LocationCritical Care Ambulance LLC1000 Iris Drive, Suite C1, Conyers, GA 30094
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ambulance (Land Transport)
1000 IRIS DR SW STE C1
CONYERS, GA 30094
Ambulance (Land Transport)
1000 IRIS DR SW STE C1
CONYERS, GA 30094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Critical Care Ambulance LLC's NPI number?

The NPI number for Critical Care Ambulance LLC is 1104616952. It was assigned to this organization in the NPPES registry on May 6, 2025.

Where is Critical Care Ambulance LLC located?

Critical Care Ambulance LLC is located at 1000 Iris Dr SW Ste C1, Conyers, GA 30094. The listed phone number is (404) 734-1094.

What is Critical Care Ambulance LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Critical Care Ambulance LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2329270) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Critical Care Ambulance LLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.