Emerald Emt, LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EMERALD EMT, LLC.

Practice address

2215 New Rd
Sandersville, GA 31082-4291

Phone

(478) 290-3871

NPI assigned

Sep 22, 2022

Last updated

Sep 22, 2022By 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

Mr. David Tapley Jr.

Title

Owner

Phone

(478) 290-3871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1689397879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEW RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310824291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEW RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310824291",
            "telephone_number": "478-290-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD EMT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "TAPLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-290-3871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Dawson
• John W Dickey, DMD
• Phillip Douglas
• E Chandler McDavid (Sandersville Family Practice Center)
• Linus Onyemaechi Ejim, M.D.
• Victor I Etheridge, DMD,PC
• Michelle Prince Evans, PT
• Constance Danielle Francis
• Ronald P. Freeman
• Kara Emily Frost, M.ED. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.