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HALIFAX EMS LLC
NPI 1396336517
Ambulance - Land Transport in Bogart, GA

Active since January 30, 2021CLIA 11D2260951 · Waiver
220 BEN BURTON CIR STE A, BOGART, GA 30622(770) 545-7222(706) 243-4760 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Mar 6, 2023, Sep 30, 2021 and 3 more (6 updates tracked since 2021).

About Halifax Ems Llc NPPES

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

HALIFAX EMS LLC (NPI 1396336517) is a healthcare organization registered as a land transport in Bogart, Georgia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 24, 2028, maintains a secondary practice location in Jefferson, and lists Zackary L. Clemons, Owner, as its authorized official.

NPPES Registry Identity

NPI1396336517
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameHALIFAX EMS LLC
Location Address220 BEN BURTON CIR STE ABogart, GA 30622-6851
Mailing Address220 Ben Burton Cir Ste ABogart, GA 30622-6851 · (770) 545-7222 · Fax (706) 243-4760
Phone(770) 545-7222
Fax(706) 243-4760
Organization SubpartNo
Authorized OfficialZackary L. ClemonsOwner · (770) 545-7222
Enumeration DateJanuary 30, 2021
Last NPPES UpdateJuly 24, 20256 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1396336517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
220 BEN BURTON CIR STE A, Bogart, GA 30622
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Secondary Practice Location 1

Location 1345 Jones RdJefferson, GA 30549 · Phone (770) 545-7222

Other Identifiers 1

Medicaid1710378963GA

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 11D2260951

Halifax Ems, LLC · Bogart, GA
Active · expires May 24, 2028
CLIA Number11D2260951
Laboratory TypeAmbulance
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorZackary L. Clemons
Laboratory Phone(770) 545-7222
Laboratory LocationHalifax Ems, LLC220 Ben Burton Circle, Suite A, Bogart, GA 30622
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 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.
17,325 services573 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.
1,710 services538 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.
32 services31 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 Halifax Ems LLC's NPI number?

The NPI number for Halifax Ems LLC is 1396336517. It was assigned to this organization in the NPPES registry on January 30, 2021.

Where is Halifax Ems LLC located?

Halifax Ems LLC is located at 220 Ben Burton Cir Ste A, Bogart, GA 30622. The listed phone number is (770) 545-7222.

What is Halifax Ems LLC's specialty?

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

Does Halifax Ems LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2260951) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Halifax Ems LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.