Organization Active NPI

Board of Commissioners Turner

  • Land Ambulance
  • Ashburn, GA
National Provider Identifier
1043390677
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Mar 15, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000164524AMedicaidGA

Other names 1

  • TURNER COUNTY EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930001114 GA Part B Supplier - Ambulance Service Supplier 6901875400 Practice locations: Ashburn, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.