Organization
LEGACY FIRST RESPONSE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMPBELLSON SHACKLETON (CEO)
(770) 572-1029
Entity
Organization
Contact information
Practice address
3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281-4695
(770) 572-1029
Mailing address
3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281-4695
(770) 572-1029
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
07/31/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up