Greene County Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

066-03 Issued in GA

Legal business name

GREENE COUNTY BOARD OF COMMISSIONERS

Practice address

2070 S Main St
Greensboro, GA 30642-2762

Phone

(706) 454-7011

Fax

(706) 453-9270

NPI assigned

Aug 9, 2006

Organization subpart

Yes

Parent organization

GREENE COUNTY BOARD OF COMMISSIONERSAs reported in NPPES

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

Authorized official

Name

Mr. Jeff Smith

Title

Director EMS

Phone

(706) 454-7011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GREENE COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Greene County Board of Commissioners2 organizations share this tax ID, including this one

Part of

Greene County Board of Commissioners

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greene County Senior Center

  • Home Delivered Meals
  • Greensboro, GA
  • NPI 1962579144
  NPD tax ID

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1992715908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SILVER RD STE 201",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422183",
            "telephone_number": "706-454-7011",
            "fax_number": "706-453-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422762",
            "telephone_number": "706-454-7011",
            "fax_number": "706-453-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENE COUNTY BOARD OF COMMISSIONERS",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR EMS",
        "authorized_official_telephone_number": "706-454-7011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "066-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000408361B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENE COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Dental Alliance of Greensboro
• Georgia Kidney Care
• Benjamin Goodroe, MD
• Clayton Green, PTA
• Tera Anita Green, RN
• Greene County Board of Education
• Greene County Health Department
• Greene County Health Department
• Greene County Health Department
• Greene County Nursing Center LLC

• All providers in Greensboro, GA
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.