Active NPI
Meriwether County Board of Commissioners
- Land Ambulance
- Greenville, GA
National Provider Identifier
1720176340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 099-02
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000002879A | Medicaid | GA | |
| 406590008 | Other | GA | RAILROAD MEDICARE |
Other names 1
- DBA: Meriwether County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041104000031 | GA | Part B Supplier - Ambulance Service Supplier | 8921060609 | Practice locations: Greenville, GA |
National Provider Directory
National Provider DirectoryLocations
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.