Organization Active NPI

County of Sumner

  • Land Ambulance
  • Gallatin, TN
National Provider Identifier
1487654927
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000008303 Issued in TN
Legal business name
COUNTY OF SUMNER
Practice address
255 Airport Rd.
Gallatin, TN 37066
Phone
(615) 451-0429
Fax
(615) 451-6081
NPI assigned
Jul 27, 2005
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Mr. Gregory Allen Miller, EMT-PARAMEDIC
Title
Chief
Phone
(615) 451-0429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS0000008303 TN Primary

Addresses

Primary practice location

255 Airport Rd.
Gallatin, TN 37066

Mailing address

255 Airport Rd.
Gallatin, TN 37066
Phone (615) 451-0429

Other identifiers 1

IdentifierTypeStateIssuer
3555622MedicaidTN

Other names 1

  • Sumner County EMS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090817000779 TN Part B Supplier - Ambulance Service Supplier 6406900034 Practice locations: Bethpage, TN; Westmoreland, TN; Portland, TN; Hendersonville, TN; Gallatin, TN; Castalian Springs, TN; Goodlettsville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2202017Sumner County EMS255 Airport Road, Gallatin, TN 37066Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Sumner County Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

164 Blackey Bandy Rd
Bethpage, TN 37022

1011 Hilton Ln
Castalian Springs, TN 37031

315 Big Station Camp Blvd
Gallatin, TN 37066

346 Nichols Ln
Gallatin, TN 37066

255 Airport Rd
Gallatin, TN 37066

3199 Long Hollow Pike
Hendersonville, TN 37075

1166 Forest Retreat Rd
Hendersonville, TN 37075

173 Luna Ln
Hendersonville, TN 37075

179 Bonita Pkwy
Hendersonville, TN 37075

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1487654927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 AIRPORT RD.",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-451-0429",
            "fax_number": "615-451-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 AIRPORT RD.",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-451-0429",
            "fax_number": "615-451-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUMNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "615-451-0429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000008303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3555622",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumner County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.