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PORT CITY AMBULANCE SERVICE LLC
NPI 1194200063
Ambulance - Land Transport in Mount Pleasant, SC

Active since September 26, 2018CLIA 42D2167307 · Waiver
543 LONG POINT RD STE 104, MOUNT PLEASANT, SC 29464(843) 800-1112(843) 972-3040 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2022, Jan 15, 2019, Sep 26, 2018 (3 updates tracked since 2018).

About Port City Ambulance Service Llc NPPES

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

PORT CITY AMBULANCE SERVICE LLC (NPI 1194200063) is a healthcare organization registered as a land transport in Mount Pleasant, South Carolina and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Brian E Peagler, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1194200063
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePORT CITY AMBULANCE SERVICE LLC
Location Address543 LONG POINT RD STE 104Mount Pleasant, SC 29464-8360
Mailing Address222 W Coleman Blvd Ste 124Mount Pleasant, SC 29464-3588 · (843) 800-1112 · Fax (843) 972-3040
Phone(843) 800-1112
Fax(843) 972-3040
Organization SubpartNo
Authorized OfficialBrian E PeaglerManaging Member · (843) 270-2391
Enumeration DateSeptember 26, 2018
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1194200063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
543 LONG POINT RD STE 104, Mount Pleasant, SC 29464
Open in Google Maps ↗

Other Identifiers 1

Other632SC · Sc Dhec

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 42D2167307

Port City Ambulance Service, LLC · Charleston, SC
Active · expires Jun 4, 2027
CLIA Number42D2167307
Laboratory TypeAmbulance
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorJohn F. Sorrell
Laboratory Phone(843) 800-1112
Laboratory LocationPort City Ambulance Service, LLC1750 Jessamine Rd, Charleston, SC 29407
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
37,945 services1,979 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.
3,321 services1,247 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
751 services661 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
320 services281 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
94 services91 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
18 services16 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 Port City Ambulance Service LLC's NPI number?

The NPI number for Port City Ambulance Service LLC is 1194200063. It was assigned to this organization in the NPPES registry on September 26, 2018.

Where is Port City Ambulance Service LLC located?

Port City Ambulance Service LLC is located at 543 Long Point Rd Ste 104, Mount Pleasant, SC 29464. The listed phone number is (843) 800-1112.

What is Port City Ambulance Service LLC's specialty?

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

Does Port City Ambulance Service LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2167307) is associated with this NPI, valid through June 4, 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 Port City Ambulance Service LLC was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.