Organization Active NPI

Board of County Commissioners in Lee County Georgia

  • Ambulance
  • Leesburg, GA
National Provider Identifier
1194762450
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
088-01 Issued in GA
Legal business name
BOARD OF COUNTY COMMISSIONERS IN LEE COUNTY GEORGIA
Doing business as
Lee County Emergency Medical Service
Lee County Fire & Emergency Services
Practice address
342 Leslie Hwy
Leesburg, GA 31763-4385
Phone
(229) 759-6011
NPI assigned
Jun 2, 2006
Organization subpart
Yes
Parent organization
LEE COUNTY BOARD OF COMMISSIONERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Heather Jones
Title
Finance Director
Phone
(229) 759-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 088-01 GA Primary

Addresses

Primary practice location

342 Leslie Hwy
Leesburg, GA 31763-4385

Mailing address

102 Starksville Ave N
Leesburg, GA 31763-4548
Phone (229) 759-6000

Other practice location 1

102 Starksville Ave N
Leesburg, GA 31763-4548
Phone (229) 759-6000

Other practice location 2

934 US Highway 19 S
Leesburg, GA 31763-4879
Phone (229) 435-5419

Other identifiers 1

IdentifierTypeStateIssuer
000068208AMedicaidGA

Other names 2

  • Lee County Emergency Medical Service Doing business as
  • Lee County Fire & Emergency Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028000484 GA Part B Supplier - Ambulance Service Supplier 9436111838 Practice locations: Leesburg, GA; Smithville, GA

National Provider Directory

National Provider Directory
Part of
Board of County Commissioners in Lee County Georgia

Locations

342 Leslie Hwy
Leesburg, GA 31763
Phone (229) 759-6011

102 Starksville Ave N
Leesburg, GA 31763
Phone (229) 759-6000

934 US Highway 19 S
Leesburg, GA 31763
Phone (229) 435-5419

1169 US Highway 82 W
Leesburg, GA 31763
Phone (229) 759-6011

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1194762450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 STARKSVILLE AVE N",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634548",
            "telephone_number": "229-759-6000",
            "fax_number": "229-435-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 LESLIE HWY",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634385",
            "telephone_number": "229-759-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Starksville Ave N",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317634548",
            "country_code": "US",
            "telephone_number": "229-759-6000",
            "fax_number": "229-435-5436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "934 US Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317634879",
            "country_code": "US",
            "telephone_number": "229-435-5419",
            "fax_number": "229-435-5436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOARD OF COUNTY COMMISSIONERS IN LEE COUNTY GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEE COUNTY BOARD OF COMMISSIONERS",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "229-759-6000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "088-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000068208A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee County Fire & Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.