Wilcox County Commissioner of Roads & Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

15602 Issued in GA

Legal business name

WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES

Practice address

509 American Legion Road
Rochelle, GA 31079

Phone

(229) 949-3344

Fax

(229) 365-7948

NPI assigned

Dec 20, 2006

Last updated

May 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Futch

Title

Director

Phone

(229) 949-3344

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1659435303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 AMERICAN LEGION ROAD",
            "city": "ROCHELLE",
            "state": "GA",
            "postal_code": "31079",
            "telephone_number": "229-949-3344",
            "fax_number": "229-365-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 AMERICAN LEGION ROAD",
            "city": "ROCHELLE",
            "state": "GA",
            "postal_code": "31079",
            "telephone_number": "229-949-3344",
            "fax_number": "229-365-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "FUTCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-949-3344"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "15602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N340761",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00067724A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Regional Hospital (Middle GA Pediatrics at Rochelle)
• Taylor Regional Hospital (Taylor Physicians Practice # 16)
• Barbara Ann Walls, OTR
• Mackenzie Watson
• Wilcox County Board of Health

• Land Ambulance in Rochelle, GA
• Providers in Rochelle, GA by specialty
• Land Ambulance in Georgia

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