Organization Active NPI

Pickens County Government

Doing business as Pickens County Government/EMS

  • Land Ambulance
  • Jasper, GA
National Provider Identifier
1932260007
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PICKENS COUNTY GOVERNMENT
Doing business as
Pickens County Government/EMS
Practice address
422 Upper Salem Church Road
Jasper, GA 30143-8605
Phone
(706) 253-8811
Fax
(706) 253-8802
NPI assigned
Dec 13, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Faye H Harvey
Title
Finance Director
Phone
(706) 253-8810

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X 112-04 GA
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

422 Upper Salem Church Road
Jasper, GA 30143-8605

Mailing address

1266 E Church St
Ste 180
Jasper, GA 30143-1908
Phone (706) 253-8811

Other identifiers 1

IdentifierTypeStateIssuer
000565474AMedicaidGA

Other names 1

  • Pickens County Government/EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000612 GA Part B Supplier - Ambulance Service Supplier 1052339504 Practice locations: Jasper, GA

National Provider Directory

National Provider Directory

Locations

3563 Camp Rd
Jasper, GA 30143
Phone (706) 253-8966

1266 E Church St
Ste 180
Jasper, GA 30143
Phone (706) 253-8811

422 Upper Salem Church Rd
Jasper, GA 30143
Phone (706) 253-8810

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1932260007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E CHURCH ST",
            "address_2": "STE 180",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431908",
            "telephone_number": "706-253-8811",
            "fax_number": "706-253-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 UPPER SALEM CHURCH ROAD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438605",
            "telephone_number": "706-253-8811",
            "fax_number": "706-253-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "706-253-8810"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "112-04",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000565474A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickens County Government/EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.