Organization Active NPI

Rabun County Board of Commissioners

  • Land Ambulance
  • Clayton, GA
National Provider Identifier
1831154558
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
119-06 Issued in GA
Legal business name
RABUN COUNTY BOARD OF COMMISSIONERS
Practice address
36 Emergency Dr
Clayton, GA 30525-4250
Phone
(706) 782-6251
Fax
(706) 782-7370
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Ms. Tammy Jones
Title
Office Manager
Phone
(706) 782-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 119-06 GA Primary

Addresses

Primary practice location

36 Emergency Dr
Clayton, GA 30525-4250

Mailing address

36 Emergency Dr
Clayton, GA 30525-4250
Phone (706) 782-6251

Other identifiers 1

IdentifierTypeStateIssuer
000430449AMedicaidGA

Other names 1

  • RABUN COUNTY EMERGENCY SERVICE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000683 GA Part B Supplier - Ambulance Service Supplier 9638157084 Practice locations: Clayton, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2198209Rabun County Emergency Medical Services36 Emergency Drive, Clayton, GA 30525Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Locations

36 Emergency Dr
Clayton, GA 30525
Phone (404) 782-7584

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1831154558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 EMERGENCY DR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254250",
            "telephone_number": "706-782-6251",
            "fax_number": "706-782-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EMERGENCY DR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254250",
            "telephone_number": "706-782-6251",
            "fax_number": "706-782-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABUN COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-782-6251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "119-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000430449A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RABUN COUNTY EMERGENCY SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.