Payton Enterprise, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAYTON ENTERPRISE, LLC

Doing business as

Matrix Mobility

Practice address

165 Edge Rd
Suite 103
Villa Rica, GA 30180-9169

Phone

(678) 941-3891

Fax

(678) 228-1424

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Stephant Payton

Title

Owner

Phone

(678) 941-3891

Specialties & licenses 1

Addresses

Other names 1

• Matrix Mobility Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1043768369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 EDGE RD",
            "address_2": "SUITE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809169",
            "telephone_number": "678-941-3891",
            "fax_number": "678-228-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 EDGE RD",
            "address_2": "SUITE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809169",
            "telephone_number": "678-941-3891",
            "fax_number": "678-228-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYTON ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "STEPHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-941-3891"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ketu Patel
• Kiran P Patel, RPH
• Nikesh Patel, PHARMD
• Kenya Adrian Patterson, L.P.C.
• Aahna Pattharwala
• Payton Mobility (Matrix Mobility)
• Peak Health LLC
• Phillip S. Butch DC, LLC
• Rosalind Phillip, RD
• Chasity Phillips, MA,LPC

• Durable Medical Equipment & Medical Supplies in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.