Butts County Board of Commissioners

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

BUTTS COUNTY BOARD OF COMMISSIONERS

Doing business as

Butts County Fire Department

Practice address

1372 Highway 42 S
Flovilla, GA 30216-2124

Phone

(678) 774-8154

Fax

(770) 775-8211

NPI assigned

Oct 30, 2006

Organization subpart

No

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

Authorized official

Name

Wesley Michael Johnston Sr.

Title

EMS Director

Phone

(770) 715-1729

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Butts County Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kusuma Rao, M.D.

  • Psychiatry Physician
  • Griffin, GA
  • NPI 1740285212
  NPD (past)

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1942386289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W 3RD ST",
            "address_2": "SUITE 14",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331881",
            "telephone_number": "770-775-8200",
            "fax_number": "770-775-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 HIGHWAY 42 S",
            "city": "FLOVILLA",
            "state": "GA",
            "postal_code": "302162124",
            "telephone_number": "678-774-8154",
            "fax_number": "770-775-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTS COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "770-715-1729",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003253579A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butts County Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Butts County Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Flovilla, GA
• Providers in Flovilla, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.