Mobility Medical of Starkville, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

07916 Issued in MS

Legal business name

MOBILITY MEDICAL OF STARKVILLE, LLC

Practice address

101 Flowood Dr
Flowood, MS 39232-3206

Phone

(601) 932-1001

NPI assigned

Jan 6, 2009

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

(662) 324-1411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1235375635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDUSTRIAL PARK RD STE B",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323206",
            "telephone_number": "601-932-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MEDICAL OF STARKVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-324-1411"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": "07916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NO",
            "identifier": "07916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Dental Clinic, Inc
• Ashley Myers Mitchell, LAT, ATC
• Lexi Mitchell
• Tonya Gail Mitchell, LMSW
• Mobility Medical Inc
• Momme
• Anna Leigh Montgomery, M.S., SLP
• Lauren B Montgomery, CRNA
• Chakilia Sharee Moody, AGACNP-BC
• Cierra Moore

• Customized Equipment (DME) in Flowood, MS
• Providers in Flowood, MS by specialty
• Customized Equipment (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.