Organization Active NPI

McDuffie County Board of Commissioners

  • Ambulance
  • Thomson, GA
National Provider Identifier
1780969964
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
097-04 Issued in GA
Legal business name
MCDUFFIE COUNTY BOARD OF COMMISSIONERS
Practice address
210 Railroad St
Thomson, GA 30824-2737
Phone
(706) 597-7300
Fax
(706) 595-4710
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Mr. Charles G. Newton IV
Title
County Commission Chairman
Phone
(706) 597-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 097-04 GA Primary

Addresses

Primary practice location

210 Railroad St
Thomson, GA 30824-2737

Mailing address

210 Railroad St
Thomson, GA 30824-2737
Phone (706) 595-2109

Other names 1

  • McDuffie County Emergency Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130724000051 GA Part B Supplier - Ambulance Service Supplier 0345481909 Practice locations: Dearing, GA; Thomson, GA

National Provider Directory

National Provider Directory

Locations

136 Main St N
Dearing, GA 30808
Phone (706) 595-7025

210 Railroad St
Thomson, GA 30824
Phone (706) 597-7300

1061 Salem Rd
Thomson, GA 30824
Phone (706) 595-2109

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1780969964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RAILROAD ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242737",
            "telephone_number": "706-595-2109",
            "fax_number": "706-595-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RAILROAD ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242737",
            "telephone_number": "706-597-7300",
            "fax_number": "706-595-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDUFFIE COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "COUNTY COMMISSION CHAIRMAN",
        "authorized_official_telephone_number": "706-597-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "097-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDuffie County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McDuffie County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.