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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EXCELSIOR AMBULANCE SERVICE INC
NPI 1275823122
Ambulance - Land Transport in Ludowici, GA

Active since April 12, 2011CLIA Certified · 2 labs
1 EXCELSIOR WAY SE, LUDOWICI, GA 31316(912) 278-1725(912) 454-5100 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2024, Oct 8, 2024, Dec 19, 2016 and 2 more (5 updates tracked since 2015).

About Excelsior Ambulance Service Inc NPPES

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

EXCELSIOR AMBULANCE SERVICE INC (NPI 1275823122) is a healthcare organization registered as a land transport in Ludowici, Georgia and active in the NPI registry since April 2011. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists James A Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1275823122
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameEXCELSIOR AMBULANCE SERVICE INC
Location Address1 EXCELSIOR WAY SELudowici, GA 31316-0979
Mailing Address1 Excelsior Way SeLudowici, GA 31316-0979 · (912) 278-1725 · Fax (912) 454-5100
Phone(912) 278-1725
Fax(912) 454-5100
Organization SubpartNo
Authorized OfficialJames A GrahamOwner · (912) 278-1725
Enumeration DateApril 12, 2011
Last NPPES UpdateJuly 1, 20265 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1275823122 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 · 001-03
1 EXCELSIOR WAY SE, Ludowici, GA 31316
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1173 SE Baya DrLake City, FL 32025-5982 · Phone (912) 367-9797 · Fax (912) 454-5100
Location 21575 Ohio Ferro RdMontgomery, AL 36117 · Phone (912) 367-9797
Location 32090 Executive Hall RdCharleston, SC 29407-8709 · Phone (912) 367-9797 · Fax (912) 454-5100

CLIA Laboratory Certificates CMS CLIA 2

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 11D2185394

Excelsior Ambulance Service · Ludowici, GA
Active · expires Jun 2, 2028
CLIA Number11D2185394
Laboratory TypeAmbulance
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorJames A. Graham
Laboratory Phone(912) 367-9797
Laboratory LocationExcelsior Ambulance Service1 Excelsior Way SE, Ludowici, GA 31316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2103549

Excelsior Ambulance Service · Montgomery, AL
Active · expires Oct 14, 2027
CLIA Number01D2103549
Laboratory TypeAmbulance
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorJames A. Graham MD
Laboratory Phone(912) 367-9797
Laboratory LocationExcelsior Ambulance Service1497 Ohio Ferro Road, Montgomery, AL 36117
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 5

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.
24,721 services734 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.
553 services441 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.
272 services190 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.
224 services194 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.
31 services29 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 Excelsior Ambulance Service Inc's NPI number?

The NPI number for Excelsior Ambulance Service Inc is 1275823122. It was assigned to this organization in the NPPES registry on April 12, 2011.

Where is Excelsior Ambulance Service Inc located?

Excelsior Ambulance Service Inc is located at 1 Excelsior Way SE, Ludowici, GA 31316. The listed phone number is (912) 278-1725.

What is Excelsior Ambulance Service Inc's specialty?

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

Does Excelsior Ambulance Service Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Excelsior Ambulance Service Inc was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.