APPLING COUNTY AMBULANCE SERVICE
NPI 1780644617
Ambulance in Baxley, GA

NPI Status: Active since March 24, 2006

Contact Information

471 FAIR ST
BAXLEY, GA
ZIP 31513
Phone: (912) 367-9841
Fax: (912) 366-9567

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  • Organization
  • Ambulance
  • CLIA Number: 11D2199373
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 11-07-2026

About APPLING COUNTY AMBULANCE SERVICE

This page provides the complete NPI Profile along with additional information for Appling County Ambulance Service, a provider established in Baxley, Georgia operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1780644617 assigned on March 2006. The practitioner's primary taxonomy code is 341600000X with license number 001-01 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Peyton A Smith (Ceo)

NPI
1780644617
Provider Name
APPLING COUNTY AMBULANCE SERVICE
Entity Type
Organization
Location Address
471 FAIR ST BAXLEY, GA 31513
Location Phone
(912) 367-9841
Location Fax
(912) 366-9567
Mailing Address
471 FAIR ST BAXLEY, GA 31513
Mailing Phone
(912) 367-9841
Mailing Fax
(912) 366-9567
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2006
Last Update Date
02-27-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
001-01
License State
GA
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PEYTON A SMITH

Authorized Official Title
CEO
Authorized Official Phone
(912) 367-9841

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000082365AMEDICAID (05)GA 
59RCBKQMEDICARE ID-TYPE UNSPECIFIED (04) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

This service was performed 266 times for 188 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

This service was performed 63 times for 54 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 8,010 times for 225 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2199373
Facility Type
Ambulance
Certificate Effective Date
November 08, 2024
Certificate Expiration Date
November 07, 2026
Laboratory Director
TONYA F. FORDHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Appling County Ambulance Service to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for APPLING COUNTY AMBULANCE SERVICE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780644617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160124862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 2 + 4 + 8 + 6 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1780644617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780644617, enumerated in the NPI registry as an "organization" on March 24, 2006

The provider is located at 471 Fair St Baxley, Ga 31513 and the phone number is (912) 367-9841

This medical organization specializes in Ambulance with taxonomy code 341600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency), Ambulance service, basic life support, emergency transport (bls-emergency) and Ground mileage, per statute mile.

The provider's CLIA number is 11D2199373 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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