Individual provider Active NPI

James Richard Dow II, EMT-I, SWAT MEDIC

  • Intermediate Emergency Medical Technician
  • Roswell, GA
National Provider Identifier
1457890824
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
44323 Issued in GA
Practice address
4925 Surrey Dr
Roswell, GA 30075-1634
Phone
(404) 988-6756
NPI assigned
Feb 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Intermediate Emergency Medical Technician 146M00000X 44323 GA Primary

Addresses

Primary practice location

4925 Surrey Dr
Roswell, GA 30075-1634

Mailing address

4925 Surrey Dr
Roswell, GA 30075-1634
Phone (404) 988-6756

Other identifiers 1

IdentifierTypeStateIssuer
44323OtherGASTATE CERTIFIED INTERMEDIATE EMERGENCY MEDICAL TECHNICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1457890824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 SURREY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751634",
            "telephone_number": "404-988-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SURREY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751634",
            "telephone_number": "404-988-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "EMT-I, SWAT MEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-18",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "GA",
            "license": "44323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFIED INTERMEDIATE EMERGENCY MEDICAL TECHNICIAN",
            "identifier": "44323",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.