Pierce County Commissioner of Roads and Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

113-01 Issued in GA

Legal business name

PIERCE COUNTY COMMISSIONER OF ROADS AND REVENUES

Doing business as

Pierce County EMS

Practice address

253 E Carter Ave
Blackshear, GA 31516-1545

Phone

(124) 492-0229

NPI assigned

Aug 31, 2005

Last updated

Mar 18, 2022By 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

Stephen Blake James

Title

EMS Director

Phone

(912) 816-9203

Specialties & licenses 1

Addresses

Other names 1

• Pierce County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1205820651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NICHOLS ST STE 5",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161926",
            "telephone_number": "912-449-2002",
            "fax_number": "912-480-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 E CARTER AVE",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161545",
            "telephone_number": "124-492-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Blackshear",
            "state": "GA",
            "postal_code": "31516",
            "country_code": "US",
            "telephone_number": "912-449-2002",
            "fax_number": "912-449-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIERCE COUNTY COMMISSIONER OF ROADS AND REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "912-816-9203"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "113-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pierce County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neighborhood Pediatrics
• Optim Orthopedics, LLC (Optim Orthopedics)
• Felicia Yvette Peach, APC
• Pierce County Board of Education
• Pierce County Board of Health
• Pierce Family Pharmacy Inc (Pierce Family Health Mart Pharmacy)
• Lynette Powers, CCC-SLP
• Jonathon Michael Pryor, LPC, LPCC
• Reliance Sleep Centers of America Inc (Reliance Sleep Center)
• Elizabeth Osburn Riggins, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.