Organization Active NPI

Unified Government of Cusseta-Chattahoochee County Georgia

  • Land Ambulance
  • Cusseta, GA
National Provider Identifier
1649049677
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UNIFIED GOVERNMENT OF CUSSETA-CHATTAHOOCHEE COUNTY GEORGIA
Practice address
215 McNaughton St
Cusseta, GA 31805-3013
Phone
(706) 587-0269
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mr. David Bucher
Title
Deputy Fire Chief
Phone
(706) 587-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

215 McNaughton St
Cusseta, GA 31805-3013

Mailing address

215 McNaughton St
Cusseta, GA 31805-3013
Phone (706) 587-0269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604003612 GA Part B Supplier - Ambulance Service Supplier 7618419714 Practice locations: Cusseta, GA

National Provider Directory

National Provider Directory

Locations

215 McNaughton St
Cusseta, GA 31805
Phone (706) 989-1050

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1649049677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MCNAUGHTON ST",
            "city": "CUSSETA",
            "state": "GA",
            "postal_code": "318053013",
            "telephone_number": "706-587-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MCNAUGHTON ST",
            "city": "CUSSETA",
            "state": "GA",
            "postal_code": "318053013",
            "telephone_number": "706-587-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED GOVERNMENT OF CUSSETA-CHATTAHOOCHEE COUNTY GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BUCHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "706-587-0269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cusseta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.