Organization Active NPI

Grady County Board of Commissioners

Doing business as Grady County Emergency Medical Service

  • Land Ambulance
  • Cairo, GA
National Provider Identifier
1881861300
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
065-01 Issued in GA
Legal business name
GRADY COUNTY BOARD OF COMMISSIONERS
Doing business as
Grady County Emergency Medical Service
Practice address
1651 N Broad St
Cairo, GA 39828-1160
Phone
(229) 377-6413
Fax
(229) 377-3940
NPI assigned
May 14, 2008
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Rodney Gordon
Title
Director
Phone
(229) 377-6413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 065-01 GA Primary

Addresses

Primary practice location

1651 N Broad St
Cairo, GA 39828-1160

Mailing address

1651 N Broad St
Cairo, GA 39828-1160
Phone (229) 377-6413

Other names 1

  • Grady County Emergency Medical Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000844 GA Part B Supplier - Ambulance Service Supplier 5799736344 Practice locations: Cairo, GA

National Provider Directory

National Provider Directory

Locations

1651 N Broad St
Cairo, GA 39828
Phone (229) 377-6413

1700 N Broad St
Cairo, GA 39827
Phone (229) 377-6413

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1881861300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281160",
            "telephone_number": "229-377-6413",
            "fax_number": "229-377-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281160",
            "telephone_number": "229-377-6413",
            "fax_number": "229-377-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-377-6413"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "065-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grady County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cairo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.