Mid Georgia Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

011-02 Issued in GA

Legal business name

MID GEORGIA AMBULANCE

Practice address

2025 Vineville Ave
Macon, GA 31204-3142

Phone

(478) 741-8804

Fax

(478) 742-0358

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shae Hinson

Title

Coo

Phone

(478) 741-8804

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346355864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043142",
            "telephone_number": "478-741-8804",
            "fax_number": "478-742-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043142",
            "telephone_number": "478-741-8804",
            "fax_number": "478-742-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID GEORGIA AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "SHAE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "478-741-8804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "011-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00133757A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Michael, MD
• Garry Michael, NP-C
• Jesse Michael, AA-C
• Nicholas P Michalakis, DO
• Brittany Mickey
• Middle Ga Nephrology
• Middle Georgia Allergy Asthma and Immunology Center LLC
• Middle Georgia Anesthesia
• Middle Georgia Anesthesia Services LLC
• Middle Georgia Anesthesia Services, LLC

• Ambulance in Macon, GA
• Providers in Macon, GA by specialty
• 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.