Polk County Emergency Medical Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

115-03 Issued in GA

Legal business name

POLK COUNTY EMERGENCY MEDICAL SERVICE

Practice address

1700 Rockmart Hwy
Cedartown, GA 30125-6021

Phone

(770) 748-7848

Fax

(770) 749-1050

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lisa A Hooper

Title

Office Manager

Phone

(770) 748-7848

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679561864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301250268",
            "telephone_number": "770-748-7848",
            "fax_number": "770-749-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROCKMART HWY",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301256021",
            "telephone_number": "770-748-7848",
            "fax_number": "770-749-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-748-7848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "115-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105654",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterly Mary Philip, PT, DPT
• Angelique Laurelyn Pickett, NP-C
• Amanda Leigh Plunkett, PHARMD
• Polk County Board of Health
• Polk County Board of Health
• Polk County, Ga Board of Commissioners
• Polk Medical Center, Inc
• Polk Medical Center, Inc
• Polk School District
• Jhinora Pollard

• Ambulance in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.