Individual provider Active NPI

Courtnei Williams

  • Ambulance
  • Tucker, GA
National Provider Identifier
1962895946
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Practice address
4267 Chamblee Tucker Rd
Tucker, GA 30084
Phone
(678) 744-6296
NPI assigned
Mar 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X
Intermediate Emergency Medical Technician 146M00000X
Basic Emergency Medical Technician 146N00000X
Ambulance 341600000X Primary

Addresses

Primary practice location

4267 Chamblee Tucker Rd
Tucker, GA 30084

Mailing address

4267 Chamblee Tucker Rd
Tucker, GA 30084
Phone (678) 744-6296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1962895946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 CHAMBLEE TUCKER RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "678-744-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 CHAMBLEE TUCKER RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "678-744-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COURTNEI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.