Organization Active NPI

Hall County Georgia

  • Land Ambulance
  • Gainesville, GA
National Provider Identifier
1992734867
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
06907 Issued in GA
Legal business name
HALL COUNTY GEORGIA
Practice address
470 Crescent Dr
Gainesville, GA 30501-5079
Phone
(770) 531-6835
Fax
(770) 531-6845
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Christie Grice
Title
Division Chief of EMS
Phone
(770) 531-6838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 06907 GA Primary
Military/U.S. Coast Guard Transport 341800000X 06907 GA

Addresses

Primary practice location

470 Crescent Dr
Gainesville, GA 30501-5079

Mailing address

PO Box 931136
Atlanta, GA 31193-1136
Phone (770) 531-6838

Other identifiers 1

IdentifierTypeStateIssuer
00236992AMedicaidGA

Other names 1

  • Hall County Ambulance Service EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930001005 GA Part B Supplier - Ambulance Service Supplier 8325017809 Practice locations: Gainesville, GA; Murrayville, GA; Lula, GA; Hoschton, GA; Gillsville, GA; Gainsville, GA; Clermont, GA; Flowey Branch, GA…

National Provider Directory

National Provider Directory

Locations

6012 Hulsey Rd
Clermont, GA 30527

4187 Falcon Pkwy
Flowery Branch, GA 30542

6175 Gaines Ferry Rd
Flowery Branch, GA 30542

4890 Winder Hwy
Flowery Branch, GA 30542

4219 Autry Spur
Gainesville, GA 30506

731 E Crescent Dr
Gainesville, GA 30501

4660 Ledan Ext
Gainesville, GA 30506

1741 Cleveland Hwy
Gainesville, GA 30501

725 Pine St
Gainesville, GA 30501

2940 McEver Rd
Gainesville, GA 30504

2709 Sardis Rd
Gainesville, GA 30506

5040 Poplar Springs Rd
Gainesville, GA 30507

470 Crescent Dr
Gainesville, GA 30501
Phone (707) 531-6835

5608 Highway 52
Gillsville, GA 30543

7065 Dove Point Ln
Hoschton, GA 30548

6172 Lula Rd
Lula, GA 30554

5625 Bark Camp Rd
Murrayville, GA 30564

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1992734867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931136",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931136",
            "telephone_number": "770-531-6838",
            "fax_number": "770-531-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CRESCENT DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305015079",
            "telephone_number": "770-531-6835",
            "fax_number": "770-531-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL COUNTY GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "DIVISION CHIEF OF EMS",
        "authorized_official_telephone_number": "770-531-6838"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "06907",
            "primary": true
        },
        {
            "code": "341800000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Transport",
            "state": "GA",
            "license": "06907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00236992A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall County Ambulance Service EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.