Active NPI
Hall County Georgia
- Land Ambulance
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 06907
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00236992A | Medicaid | GA |
Other names 1
- Hall County Ambulance Service EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Hall County Board of Health
- Hall County Board of Health
- Hall County Board of Health
- Hall County Endoscopy Center LLC
- Hall County Family Health Center Pharmacy
- Hall County Health Department
- Hall County Health Department
- Hall County Health Department
- Hall County Health Department
- Hall County Health Department
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.