Golden Isles Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

PENDING Issued in GA

Legal business name

GOLDEN ISLES MEDICAL SERVICES INC

Practice address

11097 Main St N
Nahunta, GA 31553-6147

Phone

(912) 462-8001

Fax

(912) 462-8010

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By 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

Mr. Charles Roy Wilson Jr., RN

Title

Ceo

Phone

(912) 462-8001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1144730920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11097 MAIN ST N",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315536147",
            "telephone_number": "912-462-8001",
            "fax_number": "912-462-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11097 MAIN ST N",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315536147",
            "telephone_number": "912-462-8001",
            "fax_number": "912-462-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-462-8001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Crews, LPC
• Kimberly Damon-Richardson
• Georgia Physicians South, P.C. (Blackshear Family Practice)
• Heidi D Germano, MA. LMHC
• Golden Isles EMS, LLC
• Teri W Hendrix
• Millicent Smoak Hewett, CCC-SLP
• John C House, M.D.
• Sandra Grace Howard, LPC
• Sidney Gina Hulett

• Land Ambulance in Nahunta, GA
• Providers in Nahunta, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.