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JEKYLL ISLAND FIRE DEPARTMENT
NPI 1427135540
Ambulance in Jekyll Island, GA

Active since November 01, 2006CLIA 11D2238653 · Waiver
200 STABLE RD, JEKYLL ISLAND, GA 31527(912) 635-2930(912) 635-4148 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jekyll Island Fire Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEKYLL ISLAND FIRE DEPARTMENT (NPI 1427135540) is a healthcare organization registered as an ambulance in Jekyll Island, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Jerry Dennis Gailey, Deputy Chief Of Training & Complian, as its authorized official.

NPPES Registry Identity

NPI1427135540
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameJEKYLL ISLAND STATE PARK AUTHORITY
Location Address200 STABLE RDJekyll Island, GA 31527-0844
Mailing Address100 James RdJekyll Island, GA 31527-0844 · (912) 635-2930 · Fax (912) 635-4148
Phone(912) 635-2930
Fax(912) 635-4148
Organization SubpartNo
Authorized OfficialJerry Dennis GaileyDeputy Chief Of Training & Complian · (912) 635-2930
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 18, 2018
✔ NPI 1427135540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
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).
200 STABLE RD, Jekyll Island, GA 31527
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Other Names 1

Doing Business AsJekyll Island Fire Department

Other Identifiers 1

Medicaid00562196AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2238653

Jekyll Island Fire Department And Ems · Jekyll Island, GA
Active · expires Oct 5, 2027
CLIA Number11D2238653
Laboratory TypeAmbulance
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorAmir Wind
Laboratory Phone(912) 635-2930
Laboratory LocationJekyll Island Fire Department And Ems200 Stable Rd, Jekyll Island, GA 31527
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
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.
1,321 services70 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
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.
48 services45 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
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.
25 services25 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jekyll Island State Park Authority's NPI number?

The NPI number for Jekyll Island State Park Authority is 1427135540. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Jekyll Island Fire Department.

Where is Jekyll Island State Park Authority located?

Jekyll Island State Park Authority is located at 200 Stable Rd, Jekyll Island, GA 31527. The listed phone number is (912) 635-2930.

What is Jekyll Island State Park Authority's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Jekyll Island State Park Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2238653) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jekyll Island State Park Authority was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.