Active NPI
Freedom Mobility Center, Inc.
- Customized Equipment (DME)
- Savannah, GA
National Provider Identifier
1073174603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- FREEDOM MOBILITY CENTER, INC.
- Practice address
- 4717 US Highway 80 E Ste 7a
Savannah, GA 31410-2943 - Phone
- (704) 608-6155
- NPI assigned
- Jun 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Gilbert Cotham
- Title
- Ceo
- Phone
- (704) 658-0817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
4717 US Highway 80 E Ste 7a
Savannah, GA 31410-2943
Mailing address
110 Talbert Pointe Dr
Mooresville, NC 28117-4377
Phone (704) 658-0817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191118000178 | GA | DME Supplier - Medical Supply Company | 5698989440 | Practice locations: Savannah, GA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Mooresville, NC
- NPI 1871665737
5698989440
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Mobility Center Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Middlesboro, KY
- NPI 1417788944
-
- Customized Equipment (DME)
- Ronceverte, WV
- NPI 1477148773
-
- Customized Equipment (DME)
- Columbia, SC
- NPI 1710408836
-
- Durable Medical Equipment & Medical Supplies
- Mooresville, NC
- NPI 1871665737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1073174603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 TALBERT POINTE DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174377",
"telephone_number": "704-658-0817",
"fax_number": "704-658-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 US HIGHWAY 80 E STE 7A",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314102943",
"telephone_number": "704-608-6155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM MOBILITY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "COTHAM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "GILBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-658-0817"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.