TATTNALL COMMUNITY EMS NPI 1417278029

NPI Information

NPI: 1417278029
Provider Name: TATTNALL COMMUNITY EMS
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
CLIA Number: 11D2232706
Address: 194 JOHN O PARKER DR.
REIDSVILLE, GA
ZIP 30453
Phone: (912) 557-3640

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NPI Details

TATTNALL COMMUNITY EMS is a land transport ambulance in Reidsville, GA. TATTNALL COMMUNITY EMS NPI is 1417278029. The provider is registered as an organization entity type.

The provider's business location address is:

194 JOHN O PARKER DR.
REIDSVILLE, GA
ZIP 30453
Phone: (912) 557-3640
Fax: (912) 557-6906

The provider's authorized official is William R. Kirkland .
The authorized official title is Public Safety Director and has the following contact phone number (912) 557-3640.

The CLIA number assigned to this NPI record is 11D2232706 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2010 and was last updated on 6/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	132-03	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59RCBMV	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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