Active NPI
Board of County Commissioners in Lee County Georgia
- Ambulance
- Leesburg, GA
National Provider Identifier
1194762450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 088-01
- 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 COMMISSIONERS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000068208A | Medicaid | GA |
Other names 2
- Lee County Emergency Medical Service
- Lee County Fire & Emergency Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.