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JACKIE DWAYNE ELLINGTON EMT
NPI 1841540754
Emergency Medical Technician, Intermediate in Ellijay, GA

Active since September 18, 2012
1548 OLD HWY 5 SOUTH, ELLIJAY, GA 30540(706) 273-7477(706) 276-8474 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackie Dwayne Ellington Emt NPPES

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

JACKIE DWAYNE ELLINGTON EMT (NPI 1841540754) is an individual emergency medical technician, intermediate provider in Ellijay, Georgia, licensed in Georgia (28696) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1841540754
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameJACKIE DWAYNE ELLINGTONCredential: EMT
Location Address1548 OLD HWY 5 SOUTHEllijay, GA 30540
Mailing AddressPo Box 1725Ellijay, GA 30540-0033 · (706) 273-7477 · Fax (706) 276-8474
Phone(706) 273-7477
Fax(706) 276-8474
Sole ProprietorYes
Enumeration DateSeptember 18, 2012
✔ NPI 1841540754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License✔ Licensed in GA · 28696
Definition

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

1548 OLD HWY 5 SOUTH, Ellijay, GA 30540
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOPE AMBULANCE LLC
Ambulance (Land Transport)
1548 OLD HWY 5 SOUTH
ELLIJAY, GA 30540
Gilmer County (866) 213-1275

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 Jackie Ellington's NPI number?

The NPI number for Jackie Ellington is 1841540754. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Jackie Ellington located?

Jackie Ellington practices at 1548 Old Hwy 5 South, Ellijay, GA 30540. The listed phone number is (706) 273-7477.

What is Jackie Ellington's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Jackie Ellington was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.