1. Home
  2. Directory
  3. Georgia
  4. Hoschton
  5. Ambulance
  6. NPI Profile

PEACH STATE EMS, LLC
NPI 1184037616
Ambulance - Land Transport in Hoschton, GA

Active since June 02, 2014CLIA 11D2258963 · Waiver
122 AMY INDUSTRIAL LN, HOSCHTON, GA 30548(888) 838-1391(888) 391-8501 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peach State Ems, Llc NPPES

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

PEACH STATE EMS, LLC (NPI 1184037616) is a healthcare organization registered as a land transport in Hoschton, Georgia and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Devin Ray Stancliff, Owner, as its authorized official.

NPPES Registry Identity

NPI1184037616
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePEACH STATE EMS, LLC
Location Address122 AMY INDUSTRIAL LNHoschton, GA 30548-2469
Mailing AddressPo Box 545Braselton, GA 30517-0010 · (888) 838-1391 · Fax (888) 391-8501
Phone(888) 838-1391
Fax(888) 391-8501
Organization SubpartNo
Authorized OfficialDevin Ray StancliffOwner · (678) 828-1250
Enumeration DateJune 2, 2014
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1184037616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in GA · 078-04
122 AMY INDUSTRIAL LN, Hoschton, GA 30548
Open in Google Maps ↗

Other Identifiers 1

Other078-04GA · Ga State Ems License Number

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 11D2258963

Peach State Ems, LLC · Hoschton, GA
Active · expires Apr 28, 2028
CLIA Number11D2258963
Laboratory TypeAmbulance
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorMichelle F. Stancliff
Laboratory Phone(888) 838-1391
Laboratory LocationPeach State Ems, LLC122 Amy Industrial Lane, Hoschton, GA 30548
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
24,649 services411 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
2,458 services410 patients

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 Peach State Ems, LLC's NPI number?

The NPI number for Peach State Ems, LLC is 1184037616. It was assigned to this organization in the NPPES registry on June 2, 2014.

Where is Peach State Ems, LLC located?

Peach State Ems, LLC is located at 122 Amy Industrial Ln, Hoschton, GA 30548. The listed phone number is (888) 838-1391.

What is Peach State Ems, LLC's specialty?

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

Does Peach State Ems, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2258963) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peach State Ems, LLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.