NPIMap

Organization Active NPI

Telfair County EMS

  • Land Ambulance
  • McRae, GA
National Provider Identifier
1528080397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
134-01 Issued in GA
Legal business name
TELFAIR COUNTY EMS
Practice address
901 East Willow Creek Lane
McRae, GA 31055
Phone
(229) 868-5672
Fax
(229) 868-6449
NPI assigned
Jul 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer D Williamson
Title
EMS Ema Director
Phone
(229) 868-5672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 134-01 GA Primary

Addresses

Primary practice location

901 East Willow Creek Lane
McRae, GA 31055

Mailing address

713 Telfair Ave
MC Rae, GA 31055-2163
Phone (229) 868-5672

National Provider Directory

National Provider Directory
Tax ID family
Telfair County EMS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528080397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 TELFAIR AVE",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310552163",
            "telephone_number": "229-868-5672",
            "fax_number": "229-868-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EAST WILLOW CREEK LANE",
            "city": "MCRAE",
            "state": "GA",
            "postal_code": "31055",
            "telephone_number": "229-868-5672",
            "fax_number": "229-868-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELFAIR COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS EMA DIRECTOR",
        "authorized_official_telephone_number": "229-868-5672",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "134-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McRae, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.