Capital City Ambulance of Georgia Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

62191 Issued in GA

Legal business name

CAPITAL CITY AMBULANCE OF GEORGIA INC

Practice address

2623 Washington Rd Ste E101
Augusta, GA 30904-5965

Phone

(706) 829-7771

Fax

(803) 442-9024

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Thomas F Adkins

Title

Ceo

Phone

(706) 829-7771

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Capital City Amb of Ga2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capital City Ambulance of Ga

  • Land Ambulance
  • North Augusta, SC
  • NPI 1093168999
  NPD tax ID

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1215920459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 WASHINGTON ROAD E101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-829-7771",
            "fax_number": "803-442-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 WASHINGTON RD STE E101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045965",
            "telephone_number": "706-829-7771",
            "fax_number": "803-442-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY AMBULANCE OF GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-829-7771"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "62191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230724",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585329322A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Canovi
• William Michael Cantrell, MD
• Regina Clark Canty, NP
• Kim Lee Capehart, DDS, PHD, MBA
• Patricia Capers
• Jennifer Miller Capito, PA-C
• Nicholas Michael Capito, M.D.
• Joseph Capolupo, DNP, CRNA
• Casey Alexander Capp, DO
• Traci Hicks Cappaert- Stewart, LCSW

• Ambulance in Augusta, GA
• Providers in Augusta, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.