Active NPI
City of Hapeville
Doing business as City of Hapeville Fire Department
- Land Ambulance
- Hapeville, GA
National Provider Identifier
1790885010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 060-22
- Legal business name
- CITY OF HAPEVILLE
- Doing business as
- City of Hapeville Fire Department
- Practice address
- 3468 N Fulton Ave
Hapeville, GA 30354-1466 - Phone
- (404) 669-2141
- NPI assigned
- Sep 25, 2006
- Last updated
- Apr 1, 2013
- 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
- Tom Morris
- Title
- Chief
- Phone
- (404) 669-2141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 060-22 | GA | Primary |
Addresses
Primary practice location
3468 N Fulton Ave
Hapeville, GA 30354-1466
Mailing address
PO Box 82311
Hapeville, GA 30354-0311
Phone (404) 669-2141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000428755A | Medicaid | GA |
Other names 1
- City of Hapeville Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051209000156 | GA | Part B Supplier - Ambulance Service Supplier | 3476574187 | Practice locations: Hapeville, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2250829 | Hapeville Fire Department | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
3468 N Fulton Ave
Hapeville, GA 30354
Phone (404) 669-2141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364774400000",
"number": "1790885010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82311",
"city": "HAPEVILLE",
"state": "GA",
"postal_code": "303540311",
"telephone_number": "404-669-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 N FULTON AVE",
"city": "HAPEVILLE",
"state": "GA",
"postal_code": "303541466",
"telephone_number": "404-669-2141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF HAPEVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2013-04-01",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "404-669-2141"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "060-22",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000428755A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Hapeville Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hapeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.