Organization Active NPI

Weatherly Mobility Enterprises, LLC

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1316475114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jimmy Clyce Weatherly Jr.NPI 1316496250
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.