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NORTH STAR MEDICAL TRANSPORT INC
NPI 1255859179
Ambulance - Land Transport in Carnesville, GA

Active since August 30, 2017CLIA 11D2198344 · Waiver
556 GINN STREET, CARNESVILLE, GA 30521(706) 452-1695 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2022, Sep 14, 2021, Dec 7, 2017 and 1 more (4 updates tracked since 2017).

About North Star Medical Transport Inc NPPES

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

NORTH STAR MEDICAL TRANSPORT INC (NPI 1255859179) is a healthcare organization registered as a land transport in Carnesville, Georgia and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Aimee Kenerly, Ao, as its authorized official.

NPPES Registry Identity

NPI1255859179
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameNORTH STAR MEDICAL TRANSPORT INC
Location Address556 GINN STREETCarnesville, GA 30521-9997
Mailing Address556 Ginn StreetCarnesville, GA 30521-9997
Phone(706) 452-1695
Organization SubpartNo
Authorized OfficialAimee KenerlyAo · (706) 452-1695
Enumeration DateAugust 30, 2017
Last NPPES UpdateJuly 5, 20224 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1255859179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
556 GINN STREET, Carnesville, GA 30521
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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 11D2198344

North Star Medical Transport · Carnesville, GA
Active · expires Nov 1, 2026
CLIA Number11D2198344
Laboratory TypeAmbulance
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorMatthew Davis
Laboratory Phone(706) 452-1695
Laboratory LocationNorth Star Medical Transport556 Ginn Street, Carnesville, GA 30521
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.
16,349 services383 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.
1,696 services377 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 North Star Medical Transport Inc's NPI number?

The NPI number for North Star Medical Transport Inc is 1255859179. It was assigned to this organization in the NPPES registry on August 30, 2017.

Where is North Star Medical Transport Inc located?

North Star Medical Transport Inc is located at 556 Ginn Street, Carnesville, GA 30521. The listed phone number is (706) 452-1695.

What is North Star Medical Transport Inc's specialty?

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

Does North Star Medical Transport Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2198344) is associated with this NPI, valid through November 1, 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 North Star Medical Transport Inc was last updated on July 5, 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.