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FAYETTE COUNTY EMS
NPI 1790880474
Ambulance - Land Transport in Fayetteville, GA

Active since September 14, 2006CLIA 11D2196570 · Waiver
140 STONEWALL AVE W, FAYETTEVILLE, GA 30214(770) 305-5414(770) 305-5190 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2020, Sep 17, 2019 (2 updates tracked since 2019).

About Fayette County Ems NPPES

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

FAYETTE COUNTY EMS (NPI 1790880474) is a healthcare organization registered as a land transport in Fayetteville, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Steve Folden, Ems Captain, as its authorized official.

NPPES Registry Identity

NPI1790880474
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBOARD OF COMMISSIONERS OF FAYETTE COUNTY
Location Address140 STONEWALL AVE WFayetteville, GA 30214-1520
Mailing AddressPo Box 9150Paducah, KY 42002-9150 · (270) 744-9600 · Fax (270) 744-8642
Phone(770) 305-5414
Fax(770) 305-5190
Organization SubpartNo
Authorized OfficialSteve FoldenEms Captain · (770) 305-5173
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 29, 20212 updates tracked since enumeration
NPPES CertifiedOctober 29, 2021
✔ NPI 1790880474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
140 STONEWALL AVE W, Fayetteville, GA 30214
Open in Google Maps ↗

Other Names 1

Doing Business AsFayette County Ems

Other Identifiers 1

Medicaid000002648AGA

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 11D2196570

Fayette County Fire/ Ems · Fayetteville, GA
Active · expires Oct 18, 2026
CLIA Number11D2196570
Laboratory TypeAmbulance
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorScott R. Roberts
Laboratory Phone(770) 305-5191
Laboratory LocationFayette County Fire/ Ems140 Stonewall Avenue West Suite 214, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address
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.
11,136 services1,152 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.
1,671 services1,088 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.
99 services87 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.
43 services43 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 Board Of Commissioners Of Fayette County's NPI number?

The NPI number for Board Of Commissioners Of Fayette County is 1790880474. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as Fayette County Ems.

Where is Board Of Commissioners Of Fayette County located?

Board Of Commissioners Of Fayette County is located at 140 Stonewall Ave W, Fayetteville, GA 30214. The listed phone number is (770) 305-5414.

What is Board Of Commissioners Of Fayette County's specialty?

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

Does Board Of Commissioners Of Fayette County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2196570) is associated with this NPI, valid through October 18, 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 Board Of Commissioners Of Fayette County was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.