POLK COUNTY, GA EMS
NPI 1720490808
Ambulance in Cedartown, GA

NPI Status: Active since May 23, 2014

Contact Information

144 WEST AVE
CEDARTOWN, GA
ZIP 30125
Phone: (770) 749-2100

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  • Organization
  • Ambulance
  • CLIA Number: 11D0929241
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 07-12-2026

About POLK COUNTY, GA EMS

This page provides the complete NPI Profile along with additional information for Polk County, Ga Ems, a provider established in Cedartown, Georgia operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1720490808 assigned on May 2014. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Polk County, Ga Ems. The authorized official of this NPI record is Mr. David Derrick Mcelwee (Assistant County Manager)

NPI
1720490808
Provider Legal Name
POLK COUNTY, GA BOARD OF COMMISSIONERS
Other Organization Name
POLK COUNTY, GA EMS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
144 WEST AVE CEDARTOWN, GA 30125
Location Phone
(770) 749-2100
Mailing Address
144 WEST AVE CEDARTOWN, GA 30125
Mailing Phone
(770) 749-2100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2014
Last Update Date
05-23-2014
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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 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).

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. DAVID DERRICK MCELWEE

Authorized Official Title
ASSISTANT COUNTY MANAGER
Authorized Official Phone
(770) 749-2100

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
11D0929241
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
July 13, 2024
Certificate Expiration Date
July 12, 2026
Laboratory Director
DAVID GOWDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Polk County, Ga Ems 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.

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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 1720490808, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 8 + 9 + 0 + 8 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1720490808.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720490808, enumerated as an "organization" on May 23, 2014.

The provider is located at 144 WEST AVE CEDARTOWN, GA 30125 and the phone number is (770) 749-2100.

Ambulance with taxonomy code 341600000X.