Henry County Commissioner of Roads and Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

075-03 Issued in GA

Legal business name

HENRY COUNTY COMMISSIONER OF ROADS AND REVENUES

Practice address

110 S Zack Hinton Pkwy
McDonough, GA 30253-3353

Phone

(770) 288-6536

Fax

(770) 288-6544

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Jenny Jenkins

Title

Ambulance Billing MGR

Phone

(770) 288-6688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HENRY COUNTY BOARD OF COMMISSIONERS Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1952363301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ZACK HINTON PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533353",
            "telephone_number": "770-288-6536",
            "fax_number": "770-288-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ZACK HINTON PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533353",
            "telephone_number": "770-288-6536",
            "fax_number": "770-288-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY COMMISSIONER OF ROADS AND REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "AMBULANCE BILLING MGR",
        "authorized_official_telephone_number": "770-288-6688"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "075-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000110415A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY COUNTY BOARD OF COMMISSIONERS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HENRY COUNTY BOARD OF COMMISSIONERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Denise Hedgeman, OTR/L
• Sarah Hedrick
• Helping Hand Homes and Services, LLC
• Michael D'Angelo Hemingway
• Henry County Board of Health
• Henry County School System
• Henson and Bidgoly LLLP
• Heritage Family Practice, LLC
• Heritage Medical Group, PC
• Heritage Medical Supply LLC

• Land Ambulance in McDonough, GA
• Providers in McDonough, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.