Winder EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WINDER EMS

Practice address

83 N Jackson St
Winder, GA 30680-2146

Phone

(404) 925-8622

Fax

(678) 975-7067

NPI assigned

Aug 15, 2012

Last updated

Oct 28, 2015By 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. Robert S Maxwell

Title

Ceo

Phone

(404) 925-8622

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": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1750638276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306800603",
            "telephone_number": "404-925-8622",
            "fax_number": "678-975-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 N JACKSON ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802146",
            "telephone_number": "404-925-8622",
            "fax_number": "678-975-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDER EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-925-8622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ginette Williams, LCSW
• Nadine N Williams, A-GNP-C, PMHNP-C
• Tashiba Williams, CEO
• Winder Adult Primary Care & Wellness Inc
• Winder Adult Primary Care & Wellness, Inc
• Winder ENT Center
• Winder Eye Care Center
• Winder Hma Inc
• Winder Hma LLC
• Winder Internal Medicine and Geriatrics Center PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.