Signature Ambulance at Statesboro LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

AMB2017005 Issued in GA

Legal business name

SIGNATURE AMBULANCE AT STATESBORO LLC

Practice address

12148 US Highway 301 S
Statesboro, GA 30458-3210

Phone

(912) 259-9911

Fax

(912) 225-3087

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Rodney Sommers, MDNPI 1982644845

Title

Medical Director

Phone

(912) 259-9911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Douglas R Sommers, MD

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1982644845
  NPD Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1952834962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12148 US HIGHWAY 301 S",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304583210",
            "telephone_number": "912-259-9911",
            "fax_number": "912-225-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12148 US HIGHWAY 301 S",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304583210",
            "telephone_number": "912-259-9911",
            "fax_number": "912-225-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE AMBULANCE AT STATESBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMMERS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-259-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "AMB2017005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiloh Wound Care PC
• Stanley J Shin, MD
• Whitney Ann Shingler, DIETICIAN
• Scarlet Gabrielle Shumate
• Subuhi Siddiqui, DDS
• Benjamin Andrew Sikes, NP
• Lauren Elizabeth Simerly
• Claudia Marie Simpson
• Justin Simpson
• Skills for Life Counseling Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.