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LIFECARE EMS OF GEORGIA, LLC
NPI 1205112752
Ambulance - Land Transport in Cornelia, GA

Active since October 28, 2011CLIA 11D2231176 · Waiver
363 BALDWIN RD, CORNELIA, GA 30531(706) 754-0295(706) 245-6187 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, Jan 21, 2022 (2 updates tracked since 2022).

About Lifecare Ems Of Georgia, Llc NPPES

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

LIFECARE EMS OF GEORGIA, LLC (NPI 1205112752) is a healthcare organization registered as a land transport in Cornelia, Georgia and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Brian Haney, Owner, as its authorized official.

NPPES Registry Identity

NPI1205112752
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLIFECARE EMS OF GEORGIA, LLC
Location Address363 BALDWIN RDCornelia, GA 30531-5785
Mailing AddressPo Box 5860Athens, GA 30604-5860 · (706) 245-0689 · Fax (706) 245-6187
Phone(706) 754-0295
Fax(706) 245-6187
Organization SubpartNo
Authorized OfficialBrian HaneyOwner · (706) 245-0689
Enumeration DateOctober 28, 2011
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1205112752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
363 BALDWIN RD, Cornelia, GA 30531
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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 11D2231176

Lifecare Ems Of Georgia, LLC · Cornelia, GA
Active · expires Jul 29, 2027
CLIA Number11D2231176
Laboratory TypeAmbulance
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorCarole Pence
Laboratory Phone(706) 245-0689
Laboratory LocationLifecare Ems Of Georgia, LLC363 Baldwin Road, Cornelia, GA 30531
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 3

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.
108,801 services596 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.
14,938 services578 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.
18 services18 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 Lifecare Ems Of Georgia, LLC's NPI number?

The NPI number for Lifecare Ems Of Georgia, LLC is 1205112752. It was assigned to this organization in the NPPES registry on October 28, 2011.

Where is Lifecare Ems Of Georgia, LLC located?

Lifecare Ems Of Georgia, LLC is located at 363 Baldwin Rd, Cornelia, GA 30531. The listed phone number is (706) 754-0295.

What is Lifecare Ems Of Georgia, LLC's specialty?

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

Does Lifecare Ems Of Georgia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2231176) is associated with this NPI, valid through July 29, 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 Lifecare Ems Of Georgia, LLC was last updated on April 22, 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.