P Praxis·MD
● Active Type 2 · Organization

Braveheart Medical Response Llc

Ambulance·Lilburn, GA· NPI 1558892000 · Enumerated 2017 · 9 years on NPI
Braveheart Medical Response Llc is 1 of 473 ambulance organizations in Georgia.
NPI age
9 years
Enumerated 2017-03-27
Primary specialty
Ambulance
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
President
Last NPPES update
2019-10-28
Source: monthly bulk 2026-05

How this organization compares

Across 473 active ambulance providers in Georgia.

NPI age
9 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
650 Hillcrest Rd Nw, Suite 100
Lilburn, GA 300471711
📞 7708024700fax 7708024702
Mailing address
528 Forest Pkwy Ste E
Forest Park, GA 302976109
📞 4043665298fax 4043665299

Authorized official

Bernadette Moore
President
📞 7708024700

Specialties

  • Ambulance Primary
    Definition to come...
    GA license #AMB2017007 taxonomy 3416L0300X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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