NPIMap

Organization Active NPI

Gilmer County Ambulance Service

  • Land Ambulance
  • Ellijay, GA
National Provider Identifier
1952502338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
061-01 Issued in GA
Legal business name
GILMER COUNTY AMBULANCE SERVICE
Practice address
1 W Side SQ
Ellijay, GA 30540-3326
Phone
(706) 635-1333
NPI assigned
May 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Travis Worthington
Title
Director
Phone
(706) 635-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 061-01 GA Primary

Addresses

Primary practice location

1 W Side SQ
Ellijay, GA 30540-3326

Mailing address

1 W Side SQ
Ellijay, GA 30540-3326
Phone (706) 635-1333

National Provider Directory

National Provider Directory
Tax ID family
Office of Gilmer Cty Comm2 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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952502338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W SIDE SQ",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403326",
            "telephone_number": "706-635-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SIDE SQ",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403326",
            "telephone_number": "706-635-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-635-1333"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "061-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.