Active NPI
Pediatric Mobility Innovations
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
National Provider Identifier
1255897419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PEDIATRIC MOBILITY INNOVATIONS
- Practice address
- 3114 Augusta Tech Drive Suite 404
Augusta, GA 30906 - Phone
- (706) 496-3174
- NPI assigned
- Feb 13, 2019
- Last updated
- Feb 13, 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
- Seth Downie
- Title
- President
- Phone
- (803) 399-1142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
3114 Augusta Tech Drive Suite 404
Augusta, GA 30906
Mailing address
3114 Augusta Tech Drive Suite 404
Augusta, GA 30906
Phone (706) 496-3174
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Mobility Innovations
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Lexington, SC
- NPI 1326431404
-
- Customized Equipment (DME)
- Lexington, SC
- NPI 1871953620
Locations
3114 Augusta Tech Dr
Ste 404
Augusta, GA 30906
Phone (706) 496-3174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550016000000",
"number": "1255897419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 AUGUSTA TECH DRIVE SUITE 404",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-496-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 AUGUSTA TECH DRIVE SUITE 404",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-496-3174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC MOBILITY INNOVATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A",
"authorized_official_last_name": "DOWNIE",
"authorized_official_first_name": "SETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-399-1142"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Pebe Med, Inc (Children First Pediatric Clinic)
- Meredith Cundey Peckel, PHARM D
- Justen Edgar Peckham, RN
- Pediatric Autism Clinical & Evaluation Services LLC (P.a.C.E.S., LLC)
- Pediatric Dental Associates of Atlanta (Augusta Children's Dental Center)
- Pediatricare PM
- Tara K Pedigo, MD
- Angelique Pedraza
- Brian Dorsey Peebles
- Dawn Savannah Peebles, LPC005594
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.