Organization Active NPI

Mobile Life Transportation

  • Health Service Clinic/Center
  • Locust Grove, GA
National Provider Identifier
1356267199
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MOBILE LIFE TRANSPORTATION
Practice address
214 Prescott St
Locust Grove, GA 30248-2151
Phone
(770) 369-0075
NPI assigned
Jun 25, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Mr. James Clark
Title
Owner / Member
Phone
(770) 369-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

214 Prescott St
Locust Grove, GA 30248-2151

Mailing address

214 Prescott St
Locust Grove, GA 30248-2151
Phone (770) 369-0075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1356267199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PRESCOTT ST",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482151",
            "telephone_number": "770-369-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PRESCOTT ST",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482151",
            "telephone_number": "770-369-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LIFE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "770-369-0075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.