Organization Active NPI

Meriwether County Board of Commissioners

  • Land Ambulance
  • Greenville, GA
National Provider Identifier
1720176340
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
099-02 Issued in GA
Legal business name
MERIWETHER COUNTY BOARD OF COMMISSIONERS
Practice address
59 Hill Haven Rd
Greenville, GA 30222-3107
Phone
(706) 672-4094
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Mr. Danny Lee Tucker
Title
Chief
Phone
(706) 672-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 099-02 GA Primary

Addresses

Primary practice location

59 Hill Haven Rd
Greenville, GA 30222-3107

Mailing address

P.O. Box 1304
Lagrange, GA 30241-0026
Phone (706) 672-4094

Other identifiers 2

IdentifierTypeStateIssuer
000002879AMedicaidGA
406590008OtherGARAILROAD MEDICARE

Other names 1

  • DBA: Meriwether County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000031 GA Part B Supplier - Ambulance Service Supplier 8921060609 Practice locations: Greenville, GA

National Provider Directory

National Provider Directory

Locations

77 Tech Dr
Greenville, GA 30222
Phone (706) 672-6641

59 Hill Haven Rd
Greenville, GA 30222
Phone (404) 672-4094

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1720176340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1304",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302410026",
            "telephone_number": "706-672-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HILL HAVEN RD",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "302223107",
            "telephone_number": "706-672-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIWETHER COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "706-672-1211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "099-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002879A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590008",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Meriwether County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA: Meriwether County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.