Organization Active NPI

Board of Commissioners of Walton County

Doing business as Walton County EMS

  • Land Ambulance
  • Monroe, GA
National Provider Identifier
1265439137
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
14703 Issued in GA
Legal business name
BOARD OF COMMISSIONERS OF WALTON COUNTY
Doing business as
Walton County EMS
Practice address
1110 E Spring St Ste 300
Monroe, GA 30655-2469
Phone
(770) 266-1690
Fax
(770) 267-1433
NPI assigned
Jul 6, 2005
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Mr. Ronald Almand
Title
Director
Phone
(770) 266-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 14703 GA Primary

Addresses

Primary practice location

1110 E Spring St Ste 300
Monroe, GA 30655-2469

Mailing address

1110 E Spring St Ste 300
Monroe, GA 30655-2469
Phone (770) 266-1690

Other names 1

  • Walton County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018001130 GA Part B Supplier - Ambulance Service Supplier 3173583689 Practice locations: Monroe, GA

National Provider Directory

National Provider Directory

Locations

605 Tom Brewer Rd
Ste 101
Loganville, GA 30052
Phone (770) 466-1082

111 E Spring St
Ste A
Monroe, GA 30655
Phone (770) 266-1690

1110 E Spring St
#300
Monroe, GA 30655
Phone (770) 266-1690

126 Court St
Ste B
Monroe, GA 30655
Phone (770) 266-1690

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1265439137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E SPRING ST STE 300",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-266-1690",
            "fax_number": "770-267-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E SPRING ST STE 300",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-266-1690",
            "fax_number": "770-267-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF COMMISSIONERS OF WALTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "ALMAND",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-266-1690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "14703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.