Mobility Medical Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

12380 Issued in MS

Legal business name

MOBILITY MEDICAL INC

Practice address

554 Park LN
Flowood, MS 39232-8895

Phone

(601) 932-1001

Fax

(601) 932-2130

NPI assigned

Sep 6, 2005

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danyelle Carroll

Title

Ceo

Phone

(601) 932-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1033103023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 PARK LN",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328895",
            "telephone_number": "601-932-1001",
            "fax_number": "601-932-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 PARK LN",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328895",
            "telephone_number": "601-932-1001",
            "fax_number": "601-932-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-932-1001"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "12380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440843",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi Vision Correction Center, PLLC
• Mitchell Dental Clinic, Inc
• Ashley Myers Mitchell, LAT, ATC
• Lexi Mitchell
• Tonya Gail Mitchell, LMSW
• Mobility Medical of Starkville, LLC
• Momme
• Anna Leigh Montgomery, M.S., SLP
• Lauren B Montgomery, CRNA
• Chakilia Sharee Moody, AGACNP-BC

• Oxygen Equipment & Supplies (DME) in Flowood, MS
• Providers in Flowood, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.