Fannin County Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

055-03 Issued in GA

Legal business name

FANNIN COUNTY BOARD OF COMMISSIONERS

Doing business as

Fannin County Fire/EMS

Practice address

20 Station Ridge
Blue Ridge, GA 30513-0058

Phone

(706) 632-4755

Fax

(706) 632-3818

NPI assigned

Mar 22, 2007

Last updated

Apr 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Graham

Title

Ema EMS Director

Phone

(706) 632-1958

Specialties & licenses 1

Addresses

Other names 1

• FANNIN COUNTY FIRE/EMS Doing business as

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

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1801912597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STATION RIDGE",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305130058",
            "telephone_number": "706-632-4755",
            "fax_number": "706-632-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 STATION RIDGE",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305130058",
            "telephone_number": "706-632-4755",
            "fax_number": "706-632-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EMA EMS DIRECTOR",
        "authorized_official_telephone_number": "706-632-1958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "055-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FANNIN COUNTY FIRE/EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richie Ellingson, LMT
• Hannah Nicole Ellis
• Angel Fain, RBT
• Family Life Chiropractic Center
• Familylife Medical, LLC
• Fannin County Health Department
• Fannin Drugs, Inc
• Fannin Ed Physicians LLC
• Fannin Emergency Group LLC
• Fannin Physician Services LLC

• Land Ambulance in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.