MED1
NPI 1700277639
Ambulance in Shallotte, NC

Active since February 13, 2015CLIA 34D2078640 · Waiver
4981 INDUSTRIAL DR, SHALLOTTE, NC 28470(910) 739-5556 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Med1 NPPES

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

MED1 (NPI 1700277639) is a healthcare organization registered as an ambulance in Shallotte, North Carolina and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists James Richard Hicks, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1700277639
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMED1 NC SERVICES LLC
Location Address4981 INDUSTRIAL DRShallotte, NC 28470-3441
Mailing Address2030 Powers Ferry Rd Se, Suite 120Atlanta, GA 30339-2823 · (770) 541-7823 · Fax (770) 850-2164
Organization SubpartNo
Authorized OfficialJames Richard HicksPresident And Ceo · (770) 541-7823
Enumeration DateFebruary 13, 2015
Last NPPES UpdateJanuary 27, 2020
NPI 1700277639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
4981 INDUSTRIAL DR, Shallotte, NC 28470

Other Names 1

Other NameMed1

Accepted Insurance

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 34D2078640

Med1 Services · Shallotte, NC
Active · expires Jun 1, 2028
CLIA Number34D2078640
Laboratory TypeAmbulance
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorTiffany Skimmiehorn
Laboratory Phone(910) 739-5556
Laboratory LocationMed1 Services4981 Industrial Drive, Shallotte, NC 28470
CLIA data matches this NPI record on: Address 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.
17,042 services433 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.
2,222 services418 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.
28 services27 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 Med1 Nc Services LLC's NPI number?

The NPI number for Med1 Nc Services LLC is 1700277639. It was assigned to this organization in the NPPES registry on February 13, 2015. The provider is also known as Med1.

Where is Med1 Nc Services LLC located?

Med1 Nc Services LLC is located at 4981 Industrial Dr, Shallotte, NC 28470. The listed phone number is (910) 739-5556.

What is Med1 Nc Services LLC's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Med1 Nc Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2078640) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med1 Nc Services LLC accept?

Health plans from UnitedHealthcare list Med1 Nc Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Med1 Nc Services LLC was last updated on January 27, 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.