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WAYNE COUNTY AMBULANCE SERVICE
NPI 1790846665
Ambulance - Land Transport in Jesup, GA

Active since December 13, 2006CLIA 11D2200640 · Waiver
477 W BAY ST, JESUP, GA 31545(912) 427-5999(912) 427-5906 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne County Ambulance Service NPPES

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

WAYNE COUNTY AMBULANCE SERVICE (NPI 1790846665) is a healthcare organization registered as a land transport in Jesup, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Richard Blake Johnson, Director, as its authorized official.

NPPES Registry Identity

NPI1790846665
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameWAYNE COUNTY AMBULANCE SERVICE
Location Address477 W BAY STJesup, GA 31545-1223
Mailing AddressPo Box 270Jesup, GA 31598-0270 · (912) 427-5999 · Fax (912) 427-5906
Phone(912) 427-5999
Fax(912) 427-5906
Organization SubpartNo
Authorized OfficialRichard Blake JohnsonDirector · (912) 427-5999
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1790846665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in GA · 151-01
477 W BAY ST, Jesup, GA 31545
Open in Google Maps ↗

Other Identifiers 3

Medicaid000348444AGA
Other590008778GA · Railroad Medicare
Medicare ID-Type Unspecified85029659AAGA

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 11D2200640

Wayne County Ambulance Service · Jesup, GA
Active · expires Nov 16, 2026
CLIA Number11D2200640
Laboratory TypeAmbulance
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorMelvin W. Young
Laboratory Phone(912) 427-5999
Laboratory LocationWayne County Ambulance Service201 Hinson Mosley Road, Jesup, GA 31545
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
3,495 services476 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.
492 services328 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.
393 services248 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
16 services16 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 Wayne County Ambulance Service's NPI number?

The NPI number for Wayne County Ambulance Service is 1790846665. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Wayne County Ambulance Service located?

Wayne County Ambulance Service is located at 477 W Bay St, Jesup, GA 31545. The listed phone number is (912) 427-5999.

What is Wayne County Ambulance Service's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Wayne County Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2200640) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wayne County Ambulance Service was last updated on January 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.