Screven County Commissioners of Roads & Revenue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

124-01 Issued in GA

Legal business name

SCREVEN COUNTY COMMISSIONERS OF ROADS & REVENUE

Doing business as

Screven County EMS

Practice address

618 Frontage Rd W
Sylvania, GA 30467-4888

Phone

(912) 564-7535

Fax

(912) 564-2562

NPI assigned

Jan 15, 2008

Last updated

Jan 15, 2008By 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

Mrs. Wanda Stewart

Title

Admin Clerk

Phone

(912) 564-7535

Specialties & licenses 1

Addresses

Other names 1

• Screven County 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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1821274200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304670159",
            "telephone_number": "912-564-7535",
            "fax_number": "912-564-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 FRONTAGE RD W",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304674888",
            "telephone_number": "912-564-7535",
            "fax_number": "912-564-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCREVEN COUNTY COMMISSIONERS OF ROADS & REVENUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "ADMIN CLERK",
        "authorized_official_telephone_number": "912-564-7535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "124-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Screven County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Propharmahp LLC (Ross Drug)
• Hollie Desselle Pryor, LPC
• Cynthia Laree Roper
• Stephanie Royals, LPC
• Alma Sabb
• Screven County Family Health Center, LLC (Optim Primary Care - Sylvania)
• Screven County Family Medicine
• Screven County Health Department
• Screven County Health Department
• Screven County Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.