West Georgia Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

022-07 Issued in GA

Legal business name

WEST GEORGIA AMBULANCE INC

Practice address

1952 N Highway 27
Carrollton, GA 30117-8340

Phone

(770) 832-9689

Fax

(770) 836-0151

NPI assigned

Oct 6, 2005

Last updated

May 24, 2023By 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

Carol S. Crews

Title

Evp/Cfo

Phone

(770) 812-9745

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1326036161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301120012",
            "telephone_number": "770-832-9689",
            "fax_number": "770-836-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178340",
            "telephone_number": "770-832-9689",
            "fax_number": "770-836-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "770-812-9745"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "022-07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848141A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.