Tri-County Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

061-02 Issued in GA

Legal business name

TRI-COUNTY AMBULANCE SERVICE

Practice address

332 Rose Garden LN
Ellijay, GA 30540-5736

Phone

7

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Jackie EllingtonNPI 1841540754

Title

Director

Phone

7

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackie Dwayne Ellington, EMT

  • Intermediate Emergency Medical Technician
  • Ellijay, GA
  • NPI 1841540754
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346340643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400033",
            "telephone_number": "7"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 ROSE GARDEN LN",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405736",
            "telephone_number": "7"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "7"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "061-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Lynn Walker, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.