Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braveheart Medical Response LLC

Organization Land Ambulance · NPI 1558892000

Braveheart Medical Response LLC is a Land Ambulance in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

650 Hillcrest Rd NW Ste 100
Lilburn, GA 30047-1711
Phone: (770) 802-4700
Fax: (770) 802-4702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Land Ambulance (primary) Taxonomy 3416L0300X · Licence AMB2017007 (GA)

Record details

NPI number1558892000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernadette Moore — President · (770) 802-4700
NPI enumeratedMarch 27, 2017
Last updated in NPPESOctober 28, 2019
Mailing address528 Forest Pkwy Ste E, Forest Park, GA 30297-6109