Glynn County Georgia

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

063-01 Issued in GA

Legal business name

GLYNN COUNTY GEORGIA

Practice address

121 Public Safety Blvd
Brunswick, GA 31525-8906

Phone

(912) 554-7779

Fax

(912) 297-3695

NPI assigned

Oct 27, 2005

Last updated

Apr 28, 2026By 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

Teresa Renee Shorb

Title

Administrative Supervisor

Phone

(912) 554-7779

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1851381156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230429",
            "telephone_number": "877-200-1191",
            "fax_number": "336-740-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PUBLIC SAFETY BLVD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315258906",
            "telephone_number": "912-554-7779",
            "fax_number": "912-297-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN COUNTY GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "SHORB",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "912-554-7779"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "063-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002703A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590003739",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glynn Anesthesia Associates, Inc.
• Glynn Chiropractic Assciates, PC
• Glynn County Board of Education
• Glynn County Board of Health (Coastal Health District-Brunswick)
• Glynn County Board of Health (Glynn County Health Department)
• Glynn County Heatlh Department (Coastal Health District)
• Glynn Urologists, P.C.
• Glynn-Brunswick Memorial Hospital Authority (Southeast Georgia Health System - Transitional Care Unit)
• Glynn-Brunswick Memorial Hospital Authority (Southeast Georgia Regional Medical Center)
• Patrick E Godbey, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.