Active NPI
Rabun County Board of Commissioners
- Land Ambulance
- Clayton, GA
National Provider Identifier
1831154558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 119-06
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000430449A | Medicaid | GA |
Other names 1
- RABUN COUNTY EMERGENCY SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040712000683 | GA | Part B Supplier - Ambulance Service Supplier | 9638157084 | Practice locations: Clayton, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2198209 | Rabun County Emergency Medical Services | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- Premise Health of Georgia Medical PC
- Professional Resource MGMT of Rabun, LLC
- Professional Resources Management of Rabun LLC
- Professional Resources Management of Rabun LLC
- Professional Resources Management of Rabun, LLC
- Rabun County Board of Health
- Rabun County School System
- Rabun Medical Center, LLC
- Deborah Ramona Racadag, BSN, RN, CCHP-N
- Beverly June Ramey, FNP
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.