OrganizationActive
Braveheart Medical Response LLC
NPI 1558892000 · Land Ambulance · Lilburn, GA
Provider details
- NPI number
- 1558892000
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Bernadette Moore, President(770) 802-4700
- License
- AMB2017007 (GA)
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Hillcrest Rd Nw
Suite 100
Lilburn, GA 30047-1711
Phone: (770) 802-4700
Fax: (770) 802-4702
Street-level locationGet directions
Mailing address
528 Forest Pkwy Ste E
Forest Park, GA 30297-6109
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2019-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.