Organization Active NPI

Worth County Commissioner of Roads

  • Land Ambulance
  • Sylvester, GA
National Provider Identifier
1871665174
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
159-01 Issued in GA
Legal business name
WORTH COUNTY COMMISSIONER OF ROADS
Practice address
807 S Isabella St
Sylvester, GA 31791-7554
Phone
(229) 776-8223
Fax
(229) 776-8227
NPI assigned
Nov 14, 2006
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Raymond Salter
Title
EMS Director
Phone
(229) 776-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 159-01 GA Primary

Addresses

Primary practice location

807 S Isabella St
Sylvester, GA 31791-7554

Mailing address

201 N Main St Ste 30
Sylvester, GA 31791-3102
Phone (229) 776-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210913002055 GA Part B Supplier - Ambulance Service Supplier 1951208743 Practice locations: Sylvester, GA

National Provider Directory

National Provider Directory

Locations

201 N Main St
Ste 30
Sylvester, GA 31791

203 E Willingham St
Sylvester, GA 31791

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

807 S Isabella St
Ste 30
Sylvester, GA 31791
Phone (229) 881-5590

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1871665174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST STE 30",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317913102",
            "telephone_number": "229-776-8223",
            "fax_number": "229-776-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S ISABELLA ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917554",
            "telephone_number": "229-776-8223",
            "fax_number": "229-776-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTH COUNTY COMMISSIONER OF ROADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "229-776-8223"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "159-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvester, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.