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CRISP COUNTY EMERGENCY MEDICAL SERVICES
NPI 1962478511
Ambulance in Cordele, GA

Active since February 24, 2006CLIA 11D0687256 · Waiver
202 A HOSPITAL DRIVE, CORDELE, GA 31015(229) 271-9686(229) 271-9689 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crisp County Emergency Medical Services NPPES

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

CRISP COUNTY EMERGENCY MEDICAL SERVICES (NPI 1962478511) is a healthcare organization registered as an ambulance in Cordele, Georgia and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Susan Wade Wilder, Internal Auditor, as its authorized official.

NPPES Registry Identity

NPI1962478511
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCRISP COUNTY EMERGENCY MEDICAL SERVICES
Location Address202 A HOSPITAL DRIVECordele, GA 31015
Mailing AddressPo Box 5007Cordele, GA 31010-5007 · (229) 271-9686 · Fax (229) 271-9689
Phone(229) 271-9686
Fax(229) 271-9689
Organization SubpartNo
Authorized OfficialSusan Wade WilderInternal Auditor · (229) 271-9686
Enumeration DateFebruary 24, 2006
Last NPPES UpdateDecember 28, 2007
✔ NPI 1962478511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in GA · 4001
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).

202 A HOSPITAL DRIVE, Cordele, GA 31015
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Other Identifiers 1

Medicare ID-Type Unspecified110104GA · Medicare Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D0687256

Crisp County Emergency Medical Service · Cordele, GA
Active · expires Aug 31, 2026
CLIA Number11D0687256
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHarry Latham
Laboratory Phone(912) 276-2687
Laboratory LocationCrisp County Emergency Medical Service902 Fifth St North, Cordele, GA 31015
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Crisp County Emergency Medical Services's NPI number?

The NPI number for Crisp County Emergency Medical Services is 1962478511. It was assigned to this organization in the NPPES registry on February 24, 2006.

Where is Crisp County Emergency Medical Services located?

Crisp County Emergency Medical Services is located at 202 A Hospital Drive, Cordele, GA 31015. The listed phone number is (229) 271-9686.

What is Crisp County Emergency Medical Services's specialty?

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

Does Crisp County Emergency Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0687256) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crisp County Emergency Medical Services accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Crisp County Emergency Medical Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crisp County Emergency Medical Services was last updated on December 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.