Active NPI
George Wallace Culpepper, NRP, CCEMT-P, FP-C
- Paramedic
- Fort Benning, GA
National Provider Identifier
1144525684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 9700560
- Practice address
- 6600 Van Aalst Blvd
Fort Benning, GA 31905-2102 - Phone
- (762) 408-2140
- NPI assigned
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 9700560 | AL | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Mailing address
1546 Fitzpatrick Rd
Wetumpka, AL 36092-3729
Other practice location 1
1150 Panama St
Montgomery, AL 36107-2704
Phone (334) 262-2550
Other names 1
- G. Wallace Culpepper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700560 | AL | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1144525684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 FITZPATRICK RD",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360923729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "762-408-2140"
}
],
"practiceLocations": [
{
"address_1": "1150 Panama St",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361072704",
"country_code": "US",
"telephone_number": "334-262-2550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULPEPPER",
"first_name": "GEORGE",
"middle_name": "WALLACE",
"credential": "NRP, CCEMT-P, FP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "AL",
"license": "9700560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "G.",
"last_name": "CULPEPPER",
"middle_name": "WALLACE",
"credential": "NRP, CCEMT-P, FP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.