Active NPI
Camden County Commissioner of
Doing business as Camden County Fire Rescue
- Land Ambulance
- Kingsland, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 020-01
- Legal business name
- CAMDEN COUNTY COMMISSIONER OF
- Doing business as
- Camden County Fire Rescue
- Practice address
- 125 N Gross Rd
Kingsland, GA 31548-6237 - Phone
- (912) 729-1056
- Fax
- (912) 729-6527
- NPI assigned
- Mar 1, 2006
- Last updated
- Mar 27, 2024
- 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. Patrick Parson
- Title
- Director
- Phone
- (912) 729-1056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020-01 | GA | Primary |
Addresses
Primary practice location
125 N Gross Rd
Kingsland, GA 31548-6237
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000002791A | Medicaid | GA |
Other names 1
- CAMDEN COUNTY FIRE RESCUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040917000627 | GA | Part B Supplier - Ambulance Service Supplier | 2466420443 | Practice locations: Woodbine, GA; Waverly, GA; Saint Marys, GA; Kingsland, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|---|
| 11D2203386 | Camden County Fire Rescue | Certificate of waiver | Dec 2, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Camden County Fire Resc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Kingsland, GA
- NPI 1831598135
Locations
125 N Gross Rd
Kingsland, GA 31548
Phone (912) 729-1056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Kingsland, GA
- NPI 1053649657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1093782732",
"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": "270-744-9600",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N GROSS RD",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486237",
"telephone_number": "912-729-1056",
"fax_number": "912-729-6527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMDEN COUNTY COMMISSIONER OF",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-01",
"last_updated": "2024-03-27",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "PARSON",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "912-729-1056",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "020-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000002791A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAMDEN COUNTY FIRE RESCUE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CAMDEN COUNTY FIRE RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingsland, GA
- Cindy Rochelle Cambron
- Camcoast Services Inc
- Camden C & a
- Camden County Board of Health (Camden County Health Department)
- Camden County Board of Health (Camden County Health Department)
- Camden County Commissioner of
- Camden County Schools
- Camden Health and Wellness PC
- Camden Healthcare Associates, Inc.
- Camden Urgent Care and Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.