Macon County Commissier of Roads & Revenues

Primary specialty

AmbulanceTaxonomy code 341600000X

License

09401 Issued in GA

Legal business name

MACON COUNTY COMMISSIER OF ROADS & REVENUES

Doing business as

Macon County EMS

Practice address

735 Ga Hwy 26 W.
Oglethorpe, GA 31068

Phone

(478) 472-6053

Fax

(478) 472-5643

NPI assigned

Sep 15, 2006

Last updated

Jul 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Sneed

Title

EMS Director

Phone

(478) 472-6053

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MACON COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1093811275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310630668",
            "telephone_number": "478-472-6053",
            "fax_number": "478-472-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 GA HWY 26 W.",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "31068",
            "telephone_number": "478-472-6053",
            "fax_number": "478-472-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY COMMISSIER OF ROADS & REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "478-472-6053"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "09401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000133746A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "85039559AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACON COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MACON COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Patricia Hatten, FNP
• Christopher Roderick Inhulsen, M.D.
• Richard Kauffman, M.D.
• George Randall Keene, RPH
• Macon County Board of Health
• Macon County School System
• Macon State Prison Regional Pharmacy
• Uriyah A Mathis, LAT, ATC
• Middle Flint Community Service Board
• Grace Griffin Poole, PHARMD

• Ambulance in Oglethorpe, GA
• Providers in Oglethorpe, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.