Organization Active NPI

Commissioners of Roads and Revenues Taylor County

  • Ambulance
  • Butler, GA
National Provider Identifier
1962593541
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
133-01 Issued in GA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000003033AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000275 GA Part B Supplier - Ambulance Service Supplier 6901853134 Practice locations: Butler, GA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.