Liberty County Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIBERTY COUNTY BOARD OF COMMISSIONERS

Practice address

474 S Main St
Hinesville, GA 31313-4339

Phone

(912) 876-2164

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Brown

Title

County Administrator

Phone

(912) 876-2164

Specialties & licenses 1

Addresses

Other names 1

• Liberty County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1760055396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 S MAIN ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 S MAIN ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134339",
            "telephone_number": "912-876-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "912-876-2164"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Latia Leonard
• Becca Lewis
• Kyle J. Lewis, MS, ATC
• Wendy Elizabeth Lewis, NP
• Michael S Liao, M.D.
• Liberty County Board of Education
• Liberty County Board of Health
• Liberty County Board of Health
• Liberty County Clinic of Chiropractic
• Liberty Emergency Group LLC

• All providers in Hinesville, GA
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.