GB Entity LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GB ENTITY LLC

Practice address

801 29TH St
Columbus, GA 31904-8709

Phone

(762) 258-1680

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Courtland DixonNPI 1467230375

Title

Manager

Phone

(762) 258-1680

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtland Cortez Dixon

  • Contractor
  • Columbus, GA
  • NPI 1467230375
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1801670112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7874",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087874",
            "telephone_number": "762-258-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 29TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048709",
            "telephone_number": "762-258-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GB ENTITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "COURTLAND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "762-258-1680"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Brooke Gaus, NP
• Derrick Gause
• Laura N Gautreau, NP
• Shane Gay
• Mary Gayle
• Mekdes H Gebreyessys
• Natasha Geddis
• Subrena Geddis
• Tinneal Geddis
• Charlene General

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.