Active NPI
Commissioners of Roads and Revenues Taylor County
- Ambulance
- Butler, GA
National Provider Identifier
1962593541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 133-01
- Legal business name
- COMMISSIONERS OF ROADS AND REVENUES TAYLOR COUNTY
- Practice address
- 1 Court Square
Butler, GA 31006 - Phone
- (478) 847-3435
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Lowe
- Title
- EMS Director
- Phone
- (478) 847-3435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 133-01 | GA | Primary |
Addresses
Primary practice location
1 Court Square
Butler, GA 31006
Mailing address
1 Court Square
Butler, GA 31006
Phone (478) 847-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000003033A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050331000275 | GA | Part B Supplier - Ambulance Service Supplier | 6901853134 | Practice locations: Butler, GA |
National Provider Directory
National Provider DirectoryLocations
22 E Main St
Butler, GA 31006
Phone (478) 837-8127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1962593541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COURT SQUARE",
"city": "BUTLER",
"state": "GA",
"postal_code": "31006",
"telephone_number": "478-847-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COURT SQUARE",
"city": "BUTLER",
"state": "GA",
"postal_code": "31006",
"telephone_number": "478-847-3435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMISSIONERS OF ROADS AND REVENUES TAYLOR COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "478-847-3435"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "GA",
"license": "133-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000003033A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, GA
- Amedisys Georgia LLC (Amedisys Home Health of Butler)
- Anika Blum
- Butler Long Term Care Solutions
- Susan Michele Campbell, DOCTOR OF EDUCATION
- Careconnect Health, Inc. (CareConnect Family Practice)
- Community Primary Care of Georgia LLC (Community Primary Care)
- Decker Family Practice
- Drexel Distribution Inc (Ez Test Ny)
- Ieisha Freeman, LBA
- Freemans Early Intervention Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.