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

LEGACY FIRST RESPONSE EMS LLC
NPI 1346938701
Ambulance - Land Transport in Stockbridge, GA

Active since April 25, 2023CLIA 11D2293477 · Waiver
3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281(770) 572-1029 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Jul 31, 2026 (2 updates tracked since 2026).

About Legacy First Response Ems Llc NPPES

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

LEGACY FIRST RESPONSE EMS LLC (NPI 1346938701) is a healthcare organization registered as a land transport in Stockbridge, Georgia and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Campbellson Shackleton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346938701
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLEGACY FIRST RESPONSE EMS LLC
Location Address3230 HIGHWAY 42 STE LStockbridge, GA 30281-4695
Mailing Address3230 Highway 42 Ste LStockbridge, GA 30281-4695 · (770) 572-1029
Organization SubpartNo
Authorized OfficialCampbellson ShackletonCeo · (770) 572-1029
Enumeration DateApril 25, 2023
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
NPI 1346938701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
3230 HIGHWAY 42 STE L, Stockbridge, GA 30281

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 11D2293477

Legacy First Response Ems, LLC · Stockbridge, GA
Active · expires Nov 8, 2027
CLIA Number11D2293477
Laboratory TypeAmbulance
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorCampbellson Shackleton
Laboratory Phone(470) 317-3265
Laboratory LocationLegacy First Response Ems, LLC3230 Highway 42 N, #l, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Legacy First Response Ems LLC's NPI number?

The NPI number for Legacy First Response Ems LLC is 1346938701. It was assigned to this organization in the NPPES registry on April 25, 2023.

Where is Legacy First Response Ems LLC located?

Legacy First Response Ems LLC is located at 3230 Highway 42 Ste L, Stockbridge, GA 30281. The listed phone number is (770) 572-1029.

What is Legacy First Response Ems LLC's specialty?

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

Does Legacy First Response Ems LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2293477) is associated with this NPI, valid through November 8, 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 Legacy First Response Ems LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.