Bryan County Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

015-01 Issued in GA

Legal business name

BRYAN COUNTY BOARD OF COMMISSIONERS

Doing business as

Bryan County Emergency Services

Practice address

15759 Hwy 144
Richmond Hill, GA 31324

Phone

(912) 858-2799

Fax

(912) 441-0426

NPI assigned

Aug 3, 2006

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Freddy Howell

Title

Chief

Phone

(912) 858-2799

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bryan County Emergency Services Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Bryan County Emergency Medical Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bryan County Emergency Medical Service

  • Land Ambulance
  • Pembroke, GA
  • NPI 1972611663
  NPD tax ID

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1952319360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "313210430",
            "telephone_number": "912-858-2799",
            "fax_number": "912-441-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15759 HWY 144",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-858-2799",
            "fax_number": "912-441-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "912-858-2799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "015-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003205235A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan County Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryan County Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Rose Brown, NP
• Charity Brown
• Deronda Felicia Brown, MD
• Sequoyah Smith Brown, MSN, FNP-C
• Kali Brux
• Bryan County Health Department
• Bryan Medical Associates,Inc.
• Imari Alexis Bryant
• Loretta Paulette Bryant, LPN
• Lori Buchanan

• Land Ambulance in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.