Dekalb County Board of Commissioners

Primary specialty

AmbulanceTaxonomy code 341600000X

License

044-02 Issued in GA

Legal business name

DEKALB COUNTY BOARD OF COMMISSIONERS

Practice address

1950 W Exchange PL
5TH Floor
Tucker, GA 30084-5329

Phone

(678) 406-7793

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Darnell Fullum

Title

Fire Chief

Phone

(678) 406-7750

Specialties & licenses 1

Addresses

Other names 2

• Dekalb County Fire Rescue Doing business as
• Dekalb County EMS Former legal business name

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1588703003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102371",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682371",
            "telephone_number": "800-782-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W EXCHANGE PL",
            "address_2": "5TH FLOOR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845329",
            "telephone_number": "678-406-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "FULLUM",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "678-406-7750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "044-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dekalb County EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lisa Deangelis
• Decatur Health and Wellness, LLC
• Dekalb Community Service Board
• Dekalb Community Service Board
• Dekalb Community Service Board
• Dekalb Internal Medicine Associates, PC
• Dekalb Pediatric Associates PC
• Dorothy Delisfort-Crisostomo, FNP-C
• Patricia L Delk Sr., DDS
• Patrick Dent, CPSAD,CPSMH

• All providers in Tucker, GA
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.