Johnson County Commissioner of Roads and Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

083-02 Issued in GA

Legal business name

JOHNSON COUNTY COMMISSIONER OF ROADS AND REVENUES

Doing business as

Johnson County EMS

Practice address

7055 Ga Hwy 15
Wrightsville, GA 31096-0269

Phone

(478) 240-2199

Fax

(478) 240-2298

NPI assigned

Nov 3, 2006

Last updated

Aug 22, 2020By 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

Julie D Brantley, EMT I

Title

Office Manager

Phone

(478) 240-2199

Specialties & licenses 1

Addresses

Other names 1

• Johnson County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467531939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960269",
            "telephone_number": "478-240-2199",
            "fax_number": "478-240-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 GA HWY 15",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960269",
            "telephone_number": "478-240-2199",
            "fax_number": "478-240-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY COMMISSIONER OF ROADS AND REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-240-2199",
        "authorized_official_credential": "EMT I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "083-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Lewis Howard Sr., M.D.
• Christy Clyborne Jackson, FNP
• Johnson County Board of Health (Johnson County Health Department)
• Johnson County Center for Community Health
• Johnson County Center for Community Health
• Kathryn Johnson, LCSW
• Melissa Cheryl Kilgore, FNP-C
• Allison Lee, PHARMD
• Malissa Denae Martin, LMSW
• Travis Lamar McClendon

• Land Ambulance in Wrightsville, GA
• Providers in Wrightsville, 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.
• 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.