Organization Active NPI

Lumpkin County Board of Commissioners

Doing business as Lumpkin County Emergency Medical Service

  • Land Ambulance
  • Dahlonega, GA
National Provider Identifier
1568569556
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
093-02 Issued in GA
Legal business name
LUMPKIN COUNTY BOARD OF COMMISSIONERS
Doing business as
Lumpkin County Emergency Medical Service
Practice address
57 Pinetree Way # B
Dahlonega, GA 30533-0819
Phone
(706) 864-9180
Fax
(706) 864-4172
NPI assigned
Sep 20, 2006
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mrs. Abby C Branan
Title
Director of Finance & Purchasing
Phone
(706) 482-2554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 093-02 GA Primary

Addresses

Primary practice location

57 Pinetree Way # B
Dahlonega, GA 30533-0819

Mailing address

PO Box 5847
Gainesville, GA 30504-0847
Phone (706) 864-9180

Other identifiers 1

IdentifierTypeStateIssuer
000081232BMedicaidGA

Other names 1

  • Lumpkin County Emergency Medical Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000149 GA Part B Supplier - Ambulance Service Supplier 7416917950 Practice locations: Dahlonega, GA

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
11D2210598Lumpkin County Emergency Services57 Pinetree Way, Dahlonega, GA 30533Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Lumpkin County Board of Commissioners2 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

57 Pinetree Way
Dahlonega, GA 30533
Phone (706) 864-3030

57 Pinetree Way
Ste A
Dahlonega, GA 30533
Phone (706) 864-3030

57 Pinetree Way
Ste B
Dahlonega, GA 30533
Phone (706) 864-9180

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1568569556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5847",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305040847",
            "telephone_number": "706-864-9180",
            "fax_number": "706-864-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PINETREE WAY # B",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330819",
            "telephone_number": "706-864-9180",
            "fax_number": "706-864-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMPKIN COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "BRANAN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & PURCHASING",
        "authorized_official_telephone_number": "706-482-2554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "093-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000081232B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumpkin County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lumpkin County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.