Johnson County Rescue Squad EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS4602 Issued in TN

Legal business name

JOHNSON COUNTY RESCUE SQUAD EMS

Doing business as

Johnson County EMS

Practice address

203 Paul Anderson Way
Mountain City, TN 37683-1837

Phone

(423) 727-6531

Fax

(423) 727-6932

NPI assigned

Nov 24, 2005

Last updated

Apr 1, 2025By 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

Brad Gentry

Title

Director

Phone

(423) 727-6531

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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

{
    "created_epoch": "1132790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1821071697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PAUL ANDERSON WAY",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831837",
            "telephone_number": "423-727-6531",
            "fax_number": "423-727-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PAUL ANDERSON WAY",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831837",
            "telephone_number": "423-727-6531",
            "fax_number": "423-727-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY RESCUE SQUAD EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-727-6531"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS4602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3560765",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Phillips Hosier, OTR/L
• HQM of Mountain City, LLC (Mountain City Care & Rehabilitation Center)
• Julia Iamurri, MS
• Jesse Lane Jenkins, IDC
• Johnson County Pharmacists Inc (Family Prescription Center)
• Daniel C Jones, PA-C
• Stephen Barrett Jones, DMD
• Charles Justice
• Keystone Continuum, LLC (Mountain Youth Academy)
• Keystone Continuum, LLC (Mountain Youth Academy)

• Land Ambulance in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.