JACKSON COUNTY B O C (NPI# 1982755138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982755138 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY B O C |
| Other Organization Name | JACKSON COUNTY EMERGENCY SERVICES |
| Practice Address |
86 Gordon St Jefferson GA 30549-1528 |
| Mailing Address |
Po Box 936418 Atlanta GA 31193-6418 |
| Practice Telephone | 8338105005 |
| Practice Fax Number | 8889654620 |
| Mailing Telephone | 8338105005 |
| Mailing Fax Number | 8889654620 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | JASON BAKER (EMS DIRECTOR) |
| Authorized Official Telephone | 7063676356 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
078-02 | GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 191662 | 01 |
| GA | RAILROAD MEDICARE | 590603182 | 01 |
| GA | 000055976A | 05 | |
| GA | WELLCARE | NH540 | 01 |
| Other Name | Type Code |
|---|---|
| Jackson County Emergency Services | Doing Business As Name - Organization |
| Street Address |
86 GORDON ST |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124131339 | Tri-county Ems, LLC | Ambulance | 1842 Washington St, Jefferson, GA 30549-2668 | 2006-08-15 |
| 1992734818 | Jefferson Volunteer Ambulance | Ambulance | 509 Railroad St, Jefferson, SD 57038 | 2006-07-02 |
| 1013980309 | Greene County Emergency Medical Services, Inc. | Ambulance | 204 N Grimmell Rd, Jefferson, IA 50129-1732 | 2006-02-08 |
| 1114910452 | Jefferson Volunteer Fire Co | Ambulance | 1483 Jefferson Rd, Jefferson, PA 15344-4154 | 2005-08-23 |
| 1588667851 | Jefferson Rural Fire Protection Dist | Ambulance | 189 N Main St, Jefferson, OR 97352 | 2005-05-31 |
| 1780148932 | County of Greene | Ambulance | 204 N Grimmell Rd, Jefferson, IA 50129-1732 | 2019-01-22 |
| 1770697153 | City of Jefferson | Ambulance | 317 S Main St, Jefferson, WI 53549-1892 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254660 | South Ga Ambulance LLC | Ambulance | 855 W Golden Isles Hwy, Mc Rae Helena, GA 31037-3914 | 2020-10-28 |
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1508479502 | Alliance Transportation Services | Ambulance | 247 Carlyle Park Dr Ne, Atlanta, GA 30307-2883 | 2020-08-28 |
| 1942812714 | Sagrada Ambulance LLC | Ambulance | 300 W I Pkwy # 203, Dallas, GA 30132-5079 | 2020-08-21 |
| 1689286866 | Med-trak LLC | Ambulance | 2395 Wall St Se Ste 195, Conyers, GA 30013-6703 | 2020-08-19 |
| 1952929523 | Hope Medical Transport Services | Ambulance | 101 Park 42 Dr Ste F, Locust Grove, GA 30248-2559 | 2020-07-10 |
| 1750908372 | 1st Class Ambulance | Ambulance | 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 | 2020-06-30 |
| 1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
| 1043831241 | Health Investment Group Inc | Ambulance | 1331 Wynnton Ct, Columbus, GA 31906-2140 | 2020-04-29 |
| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.