Active NPI
Towns County Commissioner
Doing business as Towns County EMS
- Land Ambulance
- Young Harris, GA
National Provider Identifier
1073659595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 139-01
- 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, 2021
- 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
- Laura Edge
- Title
- Manager
- Phone
- (706) 896-6254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00365395A | Medicaid | GA |
Other names 1
- Towns 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 |
|---|---|---|---|---|
| O20040915001176 | GA | Part B Supplier - Ambulance Service Supplier | 7517934748 | Practice locations: Young Harris, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2220807 | Towns County EMS | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Towns County Commissioner
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Young Harris, GA
- NPI 1497746036
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.