Dougherty County Commissioner of Roads & Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DOUGHERTY COUNTY COMMISSIONER OF ROADS & REVENUES

Doing business as

DOUGHERTY COUNTY EMS

Practice address

1436 Palmyra Rd
Albany, GA 31701-1868

Phone

(229) 439-7011

Fax

(229) 439-4040

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

James Gibney

Title

EMS Director

Phone

(229) 302-3901

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DOUGHERTY COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1972608644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011868",
            "telephone_number": "229-439-7011",
            "fax_number": "229-439-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011868",
            "telephone_number": "229-439-7011",
            "fax_number": "229-439-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTY COUNTY COMMISSIONER OF ROADS & REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "GIBNEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "229-302-3901"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "04701",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00099206A3",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "80112959AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGHERTY COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOUGHERTY COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joana Dorwuona-Tettey
• Rayon Dosethareh, AA-C
• Dougherty County Board of Health
• Dougherty County Board of Health
• Dougherty County Board of Health
• Dougherty County Community Coalition, Inc
• Dougherty County School System
• Dougherty Emergency Group, LLC
• Portia R. Douglas
• Amanda Dowdell

• Land Ambulance in Albany, GA
• Providers in Albany, 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 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.