Hancock County Commissioner of Roads & Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HANCOCK COUNTY COMMISSIONER OF ROADS & REVENUES

Practice address

52 Spring St
Sparta, GA 31087-1703

Phone

(706) 444-7575

Fax

(706) 444-6221

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theodore Patterson

Title

Director

Phone

(706) 998-0585

Specialties & licenses 1

Addresses

Other names 1

• Hancock 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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1831260306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 BROAD ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871731",
            "telephone_number": "706-444-7575",
            "fax_number": "706-444-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SPRING ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871703",
            "telephone_number": "706-444-7575",
            "fax_number": "706-444-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK COUNTY COMMISSIONER OF ROADS & REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-998-0585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hancock County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnesia Evans, PHLEBOTOMIST
• Family Practice & Surgery LLC
• Family Practice & Surgery LLC
• Hancock County Association for Retarded Children, Inc.
• Hancock County Board of Education
• Hancock County Health Care LLC
• Kemberly Jean Harrison-Smith, NP
• Leroy Justice, .D.D.S
• Mary Kent
• April Lawson, PHARMD

• All providers in Sparta, GA
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.