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AIR EVAC LIFETEAM
NPI 1205144425
Ambulance - Air Transport in Jesup, GA

Active since September 22, 2010CLIA 11D2015830 · Waiver
148 PEACH TREE STREET, JESUP, GA 31545(912) 530-7522(912) 530-7479 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1205144425) is a healthcare organization registered as an air transport in Jesup, Georgia and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1205144425
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameAIR EVAC EMS INC
Location Address148 PEACH TREE STREETJesup, GA 31545
Mailing AddressPo Box 106West Plains, MO 65775-0106
Phone(912) 530-7522
Fax(912) 530-7479
Organization SubpartYes
Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340
Enumeration DateSeptember 22, 2010
Last NPPES UpdateSeptember 26, 2018
✔ NPI 1205144425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
148 PEACH TREE STREET, Jesup, GA 31545
Open in Google Maps ↗

Other Names 1

Doing Business AsAir Evac Lifeteam

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 11D2015830

Air Evac Ems Inc, Ae 96 · Jesup, GA
Active · expires Nov 4, 2026
CLIA Number11D2015830
Laboratory TypeAmbulance
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorDon Mixon
Laboratory Phone(912) 530-7522
Laboratory LocationAir Evac Ems Inc, Ae 96148 Peach Tree Street, Jesup, GA 31545
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.

Rotary wing air mileage, per statute mile A0436
Rotary wing air mileage refers to the distance covered by an air ambulance, specifically a helicopter, per statute mile. This service is crucial during emergencies where ground transport isn't fast or feasible. The cost is typically calculated based on the distance traveled.
6,135 services83 patients
Ambulance service, conventional air services, transport, one way (rotary wing) A0431
Ambulance service, conventional air services, transport, one way (rotary wing) refers to a medical evacuation using a helicopter. This service is typically used in emergencies when quick transport to a hospital is needed, or in situations where ground transport is not feasible.
84 services83 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 Air Evac Ems Inc's NPI number?

The NPI number for Air Evac Ems Inc is 1205144425. It was assigned to this organization in the NPPES registry on September 22, 2010. The provider is doing business as Air Evac Lifeteam.

Where is Air Evac Ems Inc located?

Air Evac Ems Inc is located at 148 Peach Tree Street, Jesup, GA 31545. The listed phone number is (912) 530-7522.

What is Air Evac Ems Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Does Air Evac Ems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2015830) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Air Evac Ems Inc was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.