Organization Active NPI

Mobility Express of Georgia, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Roswell, GA
National Provider Identifier
1205804531
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
301755413 Issued in GA
Legal business name
MOBILITY EXPRESS OF GEORGIA, INC.
Doing business as
Mobility Express
Practice address
1580 Holcomb Bridge Rd
Suite 3
Roswell, GA 30076-2289
Phone
(770) 998-9984
NPI assigned
Mar 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Mr. Peter Fujimoto
Title
Owner
Phone
(770) 998-9984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 301755413 GA Primary

Addresses

Primary practice location

1580 Holcomb Bridge Rd
Suite 3
Roswell, GA 30076-2289

Mailing address

1580 Holcomb Bridge Rd
Suite 3
Roswell, GA 30076-2289
Phone (770) 998-9984

Other names 1

  • Mobility Express Doing business as

National Provider Directory

National Provider Directory

Locations

1580 Holcomb Bridge Rd
Ste 3
Roswell, GA 30076
Phone (770) 998-9984

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1205804531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762289",
            "telephone_number": "770-998-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762289",
            "telephone_number": "770-998-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY EXPRESS OF GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-11",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "FUJIMOTO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-998-9984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "301755413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.