Organization Active NPI

Southland Health Services of Georgia, Inc.

  • Ambulance
  • Ellijay, GA
National Provider Identifier
1720292584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SOUTHLAND HEALTH SERVICES OF GEORGIA, INC.
Practice address
1548 Highway 5 South
Ellijay, GA 30540
Phone
(706) 273-7477
Fax
(706) 273-7479
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry Lunan
Title
Ceo
Phone
(423) 247-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X GA Primary

Addresses

Primary practice location

1548 Highway 5 South
Ellijay, GA 30540

Mailing address

PO Box 1497
Vernon, AL 35592-1497
Phone (205) 695-9800

National Provider Directory

National Provider Directory

Locations

1548 Old Highway 5 S
Ellijay, GA 30540
Phone (866) 213-1275

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720292584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355921497",
            "telephone_number": "205-695-9800",
            "fax_number": "205-695-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 HIGHWAY 5 SOUTH",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30540",
            "telephone_number": "706-273-7477",
            "fax_number": "706-273-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HEALTH SERVICES OF GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-247-9560"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • 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.