BOARD OF COMMISSIONERS OF FAYETTE COUNTY NPI 1790880474

NPI Information

  • NPI: 1790880474
  • Provider Name: BOARD OF COMMISSIONERS OF FAYETTE COUNTY
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: FAYETTE COUNTY EMS
  • CLIA Number: 11D2196570
  • Address: 140 STONEWALL AVE W
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (770) 305-5414

Map and Directions

Get Directions

NPI Details

BOARD OF COMMISSIONERS OF FAYETTE COUNTY is a land transport ambulance in Fayetteville, GA. BOARD OF COMMISSIONERS OF FAYETTE COUNTY NPI is 1790880474. The provider is registered as an organization entity type.
The provider Is Doing Business As Fayette County Ems.

The provider's business location address is:

140 STONEWALL AVE W
FAYETTEVILLE, GA
ZIP 30214-520
Phone: (770) 305-5414
Fax: (770) 305-5190

The provider's authorized official is Steve Folden .
The authorized official title is Ems Captain and has the following contact phone number (770) 305-5173.

The CLIA number assigned to this NPI record is 11D2196570 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 10/29/2021.

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
13416L0300XAmbulanceLand TransportYes

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
1000002648AMEDICAIDGEORGIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI