Golden Isles EMS, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

013-02 Issued in GA

Legal business name

GOLDEN ISLES EMS, LLC

Practice address

11097 Main St N
Nahunta, GA 31553-6147

Phone

(912) 342-0911

NPI assigned

May 29, 2012

Last updated

Oct 5, 2017By 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

Charles Wilson

Title

Owner

Phone

(912) 342-0911

Specialties & licenses 1

Addresses

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

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.

• Patrick David Littlefield, MD

  • Student in an Organized Health Care Education/Training Program
  • Elmira, NY
  • NPI 1518809144
  NPD

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1841550571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315530887",
            "telephone_number": "912-342-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11097 MAIN ST N",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315536147",
            "telephone_number": "912-342-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-342-0911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "013-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Shane Crews, LPC
• Jessica Ann Crews, LPC
• Kimberly Damon-Richardson
• Georgia Physicians South, P.C. (Blackshear Family Practice)
• Heidi D Germano, MA. LMHC
• Golden Isles Medical Services Inc
• Teri W Hendrix
• Millicent Smoak Hewett, CCC-SLP
• John C House, M.D.
• Sandra Grace Howard, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.