Active NPI
Worth County Commissioner of Roads
- Land Ambulance
- Sylvester, GA
National Provider Identifier
1871665174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 159-01
- 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, 2021
- 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
- Raymond Salter
- Title
- EMS Director
- Phone
- (229) 776-8223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210913002055 | GA | Part B Supplier - Ambulance Service Supplier | 1951208743 | Practice locations: Sylvester, GA |
National Provider Directory
National Provider DirectoryLocations
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.