MEDSTAR EMS LLC
NPI 1467916387
Ambulance - Land Transport in Douglasville, GA

Active since January 24, 2019CLIA 11D2202150 · Waiver
8321 OFFICE PARK DR, DOUGLASVILLE, GA 30134(404) 319-6038 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Jan 24, 2019 (2 updates tracked since 2019).

About Medstar Ems Llc NPPES

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

MEDSTAR EMS LLC (NPI 1467916387) is a healthcare organization registered as a land transport in Douglasville, Georgia and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Glen F Vann, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1467916387
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMEDSTAR EMS LLC
Location Address8321 OFFICE PARK DRDouglasville, GA 30134-6936
Mailing Address1375 Pritchett Industrial BlvdAustell, GA 30168-5520 · (404) 319-6038
Organization SubpartNo
Authorized OfficialGlen F VannPresident/ceo · (404) 319-6038
Enumeration DateJanuary 24, 2019
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
NPI 1467916387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
8321 OFFICE PARK DR, Douglasville, GA 30134

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 11D2202150

Medstar Ems, LLC · Austell, GA
Active · expires Nov 24, 2026
CLIA Number11D2202150
Laboratory TypeAmbulance
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorGlen F. Vann
Laboratory Phone(770) 693-2291
Laboratory LocationMedstar Ems, LLC1375 Pritchett Industrial Boulevard, Austell, GA 30168
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
8321 OFFICE PARK DR
DOUGLASVILLE, GA 30134
Ambulance (Land Transport)
8321 OFFICE PARK DR
DOUGLASVILLE, GA 30134
Clinic/Center (Mental Health (Including Community Mental Health Center))
8321 OFFICE PARK DR
DOUGLASVILLE, GA 30134
Social Worker (Clinical)
8321 OFFICE PARK DR
DOUGLASVILLE, GA 30134
Social Worker (Clinical)
8321 OFFICE PARK DR
DOUGLASVILLE, GA 30134

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 Medstar Ems LLC's NPI number?

The NPI number for Medstar Ems LLC is 1467916387. It was assigned to this organization in the NPPES registry on January 24, 2019.

Where is Medstar Ems LLC located?

Medstar Ems LLC is located at 8321 Office Park Dr, Douglasville, GA 30134. The listed phone number is (404) 319-6038.

What is Medstar Ems LLC's specialty?

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

Does Medstar Ems LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2202150) is associated with this NPI, valid through November 24, 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 Medstar Ems LLC was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.