Active NPI
Board of Commissioners Turner
- Land Ambulance
- Ashburn, GA
National Provider Identifier
1043390677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BOARD OF COMMISSIONERS TURNER
- Practice address
- 625 E Washington Ave
Ashburn, GA 31714-5315 - Phone
- (229) 567-2501
- Fax
- (229) 567-0680
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William R Royal
- Title
- Director
- Phone
- (229) 567-2501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
625 E Washington Ave
Ashburn, GA 31714-5315
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-8413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000164524A | Medicaid | GA |
Other names 1
- TURNER COUNTY EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040930001114 | GA | Part B Supplier - Ambulance Service Supplier | 6901875400 | Practice locations: Ashburn, GA |
National Provider Directory
National Provider DirectoryLocations
625 E Washington Ave
Ashburn, GA 31714
Phone (229) 567-2501
744 Hudson Ave
Ashburn, GA 31714
Phone (912) 567-3501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615766400000",
"number": "1043390677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-8413",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E WASHINGTON AVE",
"city": "ASHBURN",
"state": "GA",
"postal_code": "317145315",
"telephone_number": "229-567-2501",
"fax_number": "229-567-0680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOARD OF COMMISSIONERS TURNER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A",
"authorized_official_last_name": "ROYAL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "229-567-2501",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000164524A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TURNER COUNTY EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TURNER COUNTY EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.