Active NPI
Lumpkin County Board of Commissioners
Doing business as Lumpkin County Emergency Medical Service
- Land Ambulance
- Dahlonega, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 093-02
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000081232B | Medicaid | GA |
Other names 1
- Lumpkin County Emergency Medical Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019000149 | GA | Part B Supplier - Ambulance Service Supplier | 7416917950 | Practice locations: Dahlonega, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2210598 | Lumpkin County Emergency Services | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Lumpkin County Board of Commissioners
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Dahlonega, GA
- NPI 1265787444
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.
-
- Land Ambulance
- Dahlonega, GA
- NPI 1265787444
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.