EMERGENCY MEDICAL SERVICE OF RANDOLPH COUNTY GA
NPI 1124079389
Ambulance - Land Transport in Cuthbert, GA

NPI Status: Active since May 13, 2006

Contact Information

34 TAYLOR STREET
CUTHBERT, GA
ZIP 39840
Phone: (229) 732-6632
Fax: (229) 732-2139

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  • Organization
  • Ambulance
  • Land Transport

About EMERGENCY MEDICAL SERVICE OF RANDOLPH COUNTY GA

This page provides the complete NPI Profile along with additional information for Emergency Medical Service Of Randolph County Ga, a provider established in Cuthbert, Georgia operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1124079389 assigned on May 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 12001 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Ellette Jackson Paramedic (Ems Director)

NPI
1124079389
Provider Name
EMERGENCY MEDICAL SERVICE OF RANDOLPH COUNTY GA
Entity Type
Organization
Location Address
34 TAYLOR STREET CUTHBERT, GA 39840
Location Phone
(229) 732-6632
Location Fax
(229) 732-2139
Mailing Address
361 RANDOLPH STREET CUTHBERT, GA 39840
Mailing Phone
(229) 732-6632
Mailing Fax
(229) 732-2139
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2006
Last Update Date
11-29-2010
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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 Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
12001
License State
GA

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. ELLETTE JACKSON PARAMEDIC

Authorized Official Title
EMS DIRECTOR
Authorized Official Phone
(229) 732-6632

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
000002593AMEDICAID (05)GA 
85030959AAMEDICARE ID-TYPE UNSPECIFIED (04)GA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124079389, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 7 + 1 + 8 + 3 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124079389.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124079389, enumerated as an "organization" on May 13, 2006.

The provider is located at 34 TAYLOR STREET CUTHBERT, GA 39840 and the phone number is (229) 732-6632.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.