EXCELSIOR AMBULANCE SERVICE INC – Land Ambulance, NPI 1275823122
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EXCELSIOR AMBULANCE SERVICE INC
40 E ACADEMY ST STE 979
LUDOWICI, GA 313161424
Phone: (912) 367-0300
Fax: (912) 454-5100
Type: Mailing
604 GOVERNMENT CENTER WAY
SUITE #3
EVANS, GA 308097605
Phone: (912) 367-0300
Fax: (912) 454-5100
Type: Location
1 EXCELSIOR WAY SE
LUDOWICI, GA 313160979
Phone: (912) 278-1725
Fax: (912) 454-5100
Type: Mailing
1575 Ohio Ferro Rd
Montgomery, AL 36117
Phone: (912) 367-9797
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110628000473 | O | Ambulance Service Supplier | GA | TBD |
| O20151203001359 | O | Ambulance Service Supplier | FL | TBD |
| O20251204001335 | O | Ambulance Service Supplier | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 90,196 | 261 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 279 | 168 | $0 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 109 | 86 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 38 | 38 | $0 |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 29 | 28 | $0 |
Insurance plans in this area (ZIP 31316)
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