Elbert County Georgia

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

052-01 Issued in GA

Legal business name

ELBERT COUNTY GEORGIA

Practice address

112 Mahoney Dr
Elberton, GA 30635-6010

Phone

(706) 283-2003

Fax

(706) 283-2024

NPI assigned

Oct 18, 2005

Organization subpart

Yes

Parent organization

ELBERT COUNTY GEORGIAAs reported in NPPES

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

Authorized official

Name

Charles N Almond Jr.

Title

Director of EMS/911

Phone

(706) 283-2003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Elbert County EMS Doing business as
• Elbert County Georgia Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Elbert County Georgia2 organizations share this tax ID, including this one

Part of

Elbert County Georgia

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elbert County Senior Center

  • Home Delivered Meals
  • Elberton, GA
  • NPI 1265588495
  NPD tax ID

Locations

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1477542983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "address_2": "112 MAHONEY DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306356010",
            "telephone_number": "706-283-2003",
            "fax_number": "706-283-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAHONEY DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306356010",
            "telephone_number": "706-283-2003",
            "fax_number": "706-283-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT COUNTY GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELBERT COUNTY GEORGIA",
        "enumeration_date": "2005-10-18",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "ALMOND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF EMS/911",
        "authorized_official_telephone_number": "706-283-2003",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "052-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000472029A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elbert County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elbert County Georgia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark Lassiter Daniel, M.D.
• Emily Anne Daniels
• Don R Dye OD
• Don R Dye, O.D.
• Robert Melvin Eisenman
• Elbert County Health Department
• Elbert County Health Department
• Elbert County Health Department
• Elbert County School District
• Elbert County Senior Center

• Land Ambulance in Elberton, GA
• Providers in Elberton, 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 4, 2017; 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.