Active NPI
Mgas Holdings, LLC
- Ambulance
- Macon, GA
National Provider Identifier
1477830164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 011-04
- Legal business name
- MGAS HOLDINGS, LLC
- Practice address
- 242 Holt Ave.
Macon, GA 31201-1227 - Phone
- (478) 741-4141
- Fax
- (877) 455-7182
- NPI assigned
- Nov 8, 2011
- Organization subpart
- Yes
- Parent organization
- H&CS SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Belinda Somers
- Title
- Senior Director
- Phone
- (478) 508-0685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 011-04 | GA | Primary |
Addresses
Primary practice location
242 Holt Ave.
Macon, GA 31201-1227
Mailing address
PO Box 2710
Macon, GA 31203-2710
Phone (478) 741-4141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003125241A | Medicaid | GA | |
| P01089084 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111208000177 | GA | Part B Supplier - Ambulance Service Supplier | 3779758487 | Practice locations: Macon, GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1477830164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2710",
"city": "MACON",
"state": "GA",
"postal_code": "312032710",
"telephone_number": "478-741-4141",
"fax_number": "478-742-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 HOLT AVE.",
"city": "MACON",
"state": "GA",
"postal_code": "312011227",
"telephone_number": "478-741-4141",
"fax_number": "877-455-7182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGAS HOLDINGS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "H&CS SERVICES, LLC",
"enumeration_date": "2011-11-08",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "SOMERS",
"authorized_official_first_name": "BELINDA",
"authorized_official_title_or_position": "SENIOR DIRECTOR",
"authorized_official_telephone_number": "478-508-0685"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "GA",
"license": "011-04",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003125241A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01089084",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.