Organization Active NPI

Mobility Plus

  • Durable Medical Equipment & Medical Supplies
  • Yadkinville, NC
National Provider Identifier
1023081650
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOBILITY PLUS
Practice address
105 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone
(336) 677-3866
Fax
(336) 677-3867
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Scott Moore
Title
President
Phone
(336) 677-3866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC Primary

Addresses

Primary practice location

105 Woodlyn Dr
Yadkinville, NC 27055-6673

Mailing address

PO Box 547
Yadkinville, NC 27055-0547
Phone (336) 677-3866

Other identifiers 3

IdentifierTypeStateIssuer
804402OtherNCPARTNERS
7703855MedicaidNC
064A0OtherNCBLUE CROSS/BLUE SHEILD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1023081650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550547",
            "telephone_number": "336-677-3866",
            "fax_number": "336-677-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WOODLYN DR",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556673",
            "telephone_number": "336-677-3866",
            "fax_number": "336-677-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-677-3866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "804402",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703855",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "064A0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.