GOLD CROSS EMS INC. NPI 1164445391

NPI Information

NPI: 1164445391
Provider Name: GOLD CROSS EMS, INC.
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
CLIA Number: 11D2096726
Address: 4328 WHEELER RD
MARTINEZ, GA
ZIP 30907
Phone: (706) 434-4000

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NPI Details

GOLD CROSS EMS, INC. is a land transport ambulance in Martinez, GA. GOLD CROSS EMS, INC. NPI is 1164445391. The provider is registered as an organization entity type.

The provider's business location address is:

4328 WHEELER RD
MARTINEZ, GA
ZIP 30907-740
Phone: (706) 434-4000
Fax: (706) 396-2100

The provider's authorized official is Carey L Story .
The authorized official title is Billing Manager and has the following contact phone number (706) 434-4018.

The CLIA number assigned to this NPI record is 11D2096726 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)
Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			No
2	3416L0300X	Ambulance	Land Transport	121-08	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	590012255	OTHER	GEORGIA	RR-MEDICARE
2	000781558A	MEDICAID	GEORGIA
3	590012255	OTHER		RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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