Organization Active NPI

Douglas County Board of Commissioner

  • Land Ambulance
  • Douglasville, GA
National Provider Identifier
1548329899
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DOUGLAS COUNTY BOARD OF COMMISSIONER
Practice address
12501 Veterans Memorial Hwy
Douglasville, GA 30134-2056
Phone
(777) 942-8626
Fax
(770) 920-7346
NPI assigned
Dec 6, 2006
Organization subpart
Yes
Parent organization
DOUGLAS COUNTY BOARD OF COMMISSIONERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Romona J Jones
Title
Madam Chair
Phone
(770) 942-8626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

12501 Veterans Memorial Hwy
Douglasville, GA 30134-2056

Mailing address

PO Box 863
Lewisville, NC 27023-0863
Phone (770) 294-2786

Other identifiers 1

IdentifierTypeStateIssuer
00160927AMedicaidGA

Other names 1

  • Douglas County Fire Department EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000706 GA Part B Supplier - Ambulance Service Supplier 6305806951 Practice locations: Douglasville, GA; Villa Rica, GA; Lithia Springs, GA

National Provider Directory

National Provider Directory
Part of
Douglas Co EMS

Locations

12431 Veterans Memorial Hwy
Douglasville, GA 30134
Phone (404) 949-3004

8271 Highway 166
Douglasville, GA 30135
Phone (770) 942-8626

5203 Kilroy Ln
Douglasville, GA 30135
Phone (770) 942-8626

8700 Hospital Dr
Douglasville, GA 30134

2230 Riverside Pkwy
Douglasville, GA 30135
Phone (770) 942-8626

7792 Highway 92
Douglasville, GA 30134
Phone (770) 942-8626

12501 Veterans Memorial Hwy
Douglasville, GA 30134
Phone (770) 942-8626

3901 Chapel Hill Rd
Douglasville, GA 30135
Phone (770) 942-8626

7217 S Sweetwater Rd
Lithia Springs, GA 30122
Phone (770) 942-8626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1548329899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863",
            "telephone_number": "770-294-2786",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 VETERANS MEMORIAL HWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342056",
            "telephone_number": "777-942-8626",
            "fax_number": "770-920-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY BOARD OF COMMISSIONER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS COUNTY BOARD OF COMMISSIONER",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROMONA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MADAM CHAIR",
        "authorized_official_telephone_number": "770-942-8626"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00160927A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas County Fire Department EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Douglas County Fire Department EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.