Active NPI
Weatherly Mobility Enterprises, LLC
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
National Provider Identifier
1316475114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WEATHERLY MOBILITY ENTERPRISES, LLC
- Practice address
- 3840 Viscount Ave Ste 14
Memphis, TN 38118-6023 - Phone
- (901) 779-4199
- NPI assigned
- May 24, 2017
- 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
- Mr. Jimmy Clyce Weatherly Jr.
- Title
- Owner
- Phone
- (901) 779-4199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
3840 Viscount Ave Ste 14
Memphis, TN 38118-6023
Mailing address
3840 Viscount Ave Ste 14
Memphis, TN 38118-6023
Phone (901) 779-4199
Other names 1
- 101 Mobility
National Provider Directory
National Provider DirectoryLocations
3840 Viscount Ave
Ste 14
Memphis, TN 38118
Phone (901) 779-4199
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1316496250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1316475114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 VISCOUNT AVE STE 14",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186023",
"telephone_number": "901-779-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 VISCOUNT AVE STE 14",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186023",
"telephone_number": "901-779-4199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEATHERLY MOBILITY ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WEATHERLY",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "CLYCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-779-4199",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "101 Mobility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.