NPIMap

Organization Active NPI

Madison Co Commissioner Roads and Revenue

  • Land Ambulance
  • Danielsville, GA
National Provider Identifier
1104835164
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
09501 Issued in GA
Legal business name
MADISON CO COMMISSIONER ROADS AND REVENUE
Practice address
Hwy 98 W
Danielsville, GA 30633
Phone
(706) 795-6300
Fax
(706) 795-2980
NPI assigned
Aug 7, 2006
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Cherri Mae Wyatt
Title
Billing Specialist
Phone
(706) 795-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 09501 GA Primary

Addresses

Primary practice location

Hwy 98 W
Danielsville, GA 30633

Mailing address

91 Albany Ave
Danielsville, GA 30633
Phone (706) 795-6300

Other names 1

  • Madison County EMS Other name

National Provider Directory

National Provider Directory
Tax ID family
Madison Co Commissioner Roads and Revenue3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1104835164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 ALBANY AVE",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "30633",
            "telephone_number": "706-795-6300",
            "fax_number": "706-795-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 98 W",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "30633",
            "telephone_number": "706-795-6300",
            "fax_number": "706-795-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CO COMMISSIONER ROADS AND REVENUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "CHERRI",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "706-795-6307"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "09501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danielsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.