Organization Active NPI

Towns County Commissioner

Doing business as Towns County EMS

  • Land Ambulance
  • Young Harris, GA
National Provider Identifier
1073659595
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
139-01 Issued in GA
Legal business name
TOWNS COUNTY COMMISSIONER
Doing business as
Towns County EMS
Practice address
1400 Jack Dayton Cir
Young Harris, GA 30582-2336
Phone
(706) 896-6254
Fax
(706) 896-1069
NPI assigned
Jan 30, 2007
Last updated
Mar 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Edge
Title
Manager
Phone
(706) 896-6254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 139-01 GA Primary

Addresses

Primary practice location

1400 Jack Dayton Cir
Young Harris, GA 30582-2336

Mailing address

PO Box 629
Hiawassee, GA 30546-0629
Phone (706) 896-6254

Other identifiers 1

IdentifierTypeStateIssuer
00365395AMedicaidGA

Other names 1

  • Towns 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
O20040915001176 GA Part B Supplier - Ambulance Service Supplier 7517934748 Practice locations: Young Harris, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2220807Towns County EMS1400 Jack Dayton Circle, Young Harris, GA 30582Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Towns County Commissioner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 Jack Dayton Cir
Young Harris, GA 30582
Phone (706) 896-6254

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1073659595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305460629",
            "telephone_number": "706-896-6254",
            "fax_number": "706-896-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACK DAYTON CIR",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305822336",
            "telephone_number": "706-896-6254",
            "fax_number": "706-896-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNS COUNTY COMMISSIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-896-6254"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "139-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365395A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towns County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Towns County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Young Harris, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.