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LIFE STAT EMS
NPI 1942962048
Ambulance - Land Transport in Canton, GA

Active since October 06, 2021CLIA 11D2240773 · Waiver
3551 BALL GROUND HWY, CANTON, GA 30114(404) 987-6278(678) 807-2631 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2022, Dec 3, 2021, Oct 6, 2021 (3 updates tracked since 2021).

About Life Stat Ems NPPES

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

LIFE STAT EMS (NPI 1942962048) is a healthcare organization registered as a land transport in Canton, Georgia and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Michael L Waters, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1942962048
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLIFE STAT EMS
Location Address3551 BALL GROUND HWYCanton, GA 30114-7411
Mailing AddressPo Box 4636Canton, GA 30114-0019 · (404) 987-6278 · Fax (678) 807-2631
Phone(404) 987-6278
Fax(678) 807-2631
Organization SubpartNo
Authorized OfficialMichael L WatersBilling Manager · (770) 490-3911
Enumeration DateOctober 6, 2021
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1942962048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
3551 BALL GROUND HWY, Canton, GA 30114
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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 11D2240773

Life Stat Ems, LLC · Canton, GA
Active · expires Oct 21, 2027
CLIA Number11D2240773
Laboratory TypeAmbulance
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorHowell Gentry
Laboratory Phone(404) 987-6278
Laboratory LocationLife Stat Ems, LLC3551 Ball Ground Highway, Canton, GA 30114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
14,782 services921 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.
1,056 services918 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 Life Stat Ems's NPI number?

The NPI number for Life Stat Ems is 1942962048. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Life Stat Ems located?

Life Stat Ems is located at 3551 Ball Ground Hwy, Canton, GA 30114. The listed phone number is (404) 987-6278.

What is Life Stat Ems's specialty?

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

Does Life Stat Ems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2240773) is associated with this NPI, valid through October 21, 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 Life Stat Ems was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.