JACKSON COUNTY B O C NPI 1982755138

NPI Information

  • NPI: 1982755138
  • Provider Name: JACKSON COUNTY B O C
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: JACKSON COUNTY EMERGENCY SERVICES
  • CLIA Number: 11D2202968
  • Address: 86 GORDON ST
    JEFFERSON, GA
    ZIP 30549
  • Phone: (833) 810-5005

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NPI Details

JACKSON COUNTY B O C is a land transport ambulance in Jefferson, GA. JACKSON COUNTY B O C NPI is 1982755138. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson County Emergency Services.

The provider's business location address is:

86 GORDON ST
JEFFERSON, GA
ZIP 30549-528
Phone: (833) 810-5005
Fax: (888) 965-4620

The provider's authorized official is Jason Baker .
The authorized official title is Ems Director and has the following contact phone number (706) 367-6356.

The CLIA number assigned to this NPI record is 11D2202968 - 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 1/15/2007 and was last updated on 12/26/2017.

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 Transport078-02GEORGIAYes

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
1000055976AMEDICAIDGEORGIA
2590603182OTHERGEORGIARAILROAD MEDICARE
3191662OTHERGEORGIABCBS
4NH540OTHERGEORGIAWELLCARE

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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