Active NPI
Ware County Board of Commissioners
Doing business as Ware County EMS
- Land Ambulance
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 148-01
- Legal business name
- WARE COUNTY BOARD OF COMMISSIONERS
- Doing business as
- Ware County EMS
- Practice address
- 3395 Harris Road
Suite 100
Waycross, GA 31503-9227 - Phone
- (912) 287-4454
- NPI assigned
- Feb 13, 2007
- Last updated
- Oct 23, 2012
- 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
- Bill Parham
- Title
- Director
- Phone
- (912) 287-4454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 148-01 | GA | Primary |
Addresses
Primary practice location
3395 Harris Road
Suite 100
Waycross, GA 31503-9227
Mailing address
3395 Harris Road
Suite 100
Waycross, GA 31503-9227
Phone (912) 287-4454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000003121A | Medicaid | GA | |
| 590003820 | Other | GA | RAILROAD MEDICARE |
Other names 1
- Ware County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050425000086 | GA | Part B Supplier - Ambulance Service Supplier | 1456399054 | Practice locations: Waycross, 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 |
|---|---|---|---|
| 11D2237152 | Ware County EMS | Certificate of waiver | Sep 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
1700 Riverside Ave
Waycross, GA 31501
Phone (912) 287-4454
3395 Harris Rd
Ste 100
Waycross, GA 31503
Phone (912) 287-4454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Fitzgerald, GA
- NPI 1255388823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350950400000",
"number": "1831231042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 HARRIS ROAD",
"address_2": "SUITE 100",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315039227",
"telephone_number": "912-287-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 HARRIS ROAD",
"address_2": "SUITE 100",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315039227",
"telephone_number": "912-287-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARE COUNTY BOARD OF COMMISSIONERS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2012-10-23",
"status": "A",
"authorized_official_last_name": "PARHAM",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "912-287-4454"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "148-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000003121A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590003820",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ware County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waycross, GA
- Samantha Walker
- Tina Fawn Walker, FNP
- Caitlyn Deanna Walsh, FNP-BC
- Anthony Joseph Walters, CLINICAL SOCIAL WORK
- David J Walters, M.D.
- Ware County Board of Education
- Ware County Board of Health
- Ware County Board of Health
- Ware County Board of Health
- Ware County Health Care LLC (Waycross Health & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.