Active NPI
McDuffie County Board of Commissioners
- Ambulance
- Thomson, GA
National Provider Identifier
1780969964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 097-04
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130724000051 | GA | Part B Supplier - Ambulance Service Supplier | 0345481909 | Practice locations: Dearing, GA; Thomson, GA |
National Provider Directory
National Provider DirectoryLocations
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
- Christina Michelle Marshall-Franklin, CMA,AAMA
- Digna Ivelith Martinez
- Master'S Personal Care Home
- Jett Lavern McCullough, PHARMACIST
- Michael David McDaniel, P.A.
- McDuffie County Board of Health
- McDuffie County Board of Health
- McDuffie County Mental Health
- McDuffie County Nursing Home LLC
- McDuffie Coutny Board of Education
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.