Jimmy Clyce Weatherly Jr.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

3840 Viscount Ave
Suite 14
Memphis, TN 38118-6023

Phone

(901) 779-4199

Fax

(901) 779-7103

NPI assigned

Oct 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weatherly Mobility Enterprises, LLC

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
  • NPI 1316475114
  NPD (past) Authorized official

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1316496250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 VISCOUNT AVE",
            "address_2": "SUITE 14",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186023",
            "telephone_number": "901-779-4199",
            "fax_number": "901-779-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 VISCOUNT AVE",
            "address_2": "SUITE 14",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186023",
            "telephone_number": "901-779-4199",
            "fax_number": "901-779-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "JIMMY",
        "middle_name": "CLYCE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blakely Jo Weatherford, APRN-BC
• David Mitchell Weatherford, MD
• Anna Weatherington, RBT
• Weatherly Mobility Enterprises, LLC
• Jill Weatherly
• Paul Weatherly
• Daria D Weathers, LCSW
• Lakeysha Nichelle Weatherspoon
• Lamonica Weatherspoon
• Sarah E Weatherspoon, M.D.

• Durable Medical Equipment & Medical Supplies in Memphis, TN
• Providers in Memphis, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.