Mobility Medical of North

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

25882 Issued in MS

Legal business name

MOBILITY MEDICAL OF NORTH

Practice address

2565 Halls Mill Rd
Unit F
Mobile, AL 36606

Phone

(601) 932-1001

Fax

(601) 932-2130

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Danyelle Carroll

Title

Ceo/Owner

Phone

(601) 932-1001

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• MOBILITY MEDICAL Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1356390702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 PARK LN",
            "address_2": "STE B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328895",
            "telephone_number": "601-932-1001",
            "fax_number": "601-932-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 HALLS MILL RD",
            "address_2": "UNIT F",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36606",
            "telephone_number": "601-932-1001",
            "fax_number": "601-932-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MEDICAL OF NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "601-932-1001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": "25882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BOARD OF HME SVS PROVIDERS",
            "identifier": "1406",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200655",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF PHARMACY PERMIT",
            "identifier": "0695311.1",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE LICENSE",
            "identifier": "DME.000555",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03630512",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILITY MEDICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mobile Surgical Services, P.C.
• Mobile Urology Group, P.a.
• Mobile Vascular Labs LLC
• Mobile-Oms, LLC
• Mobile-SC, LTD
• Mobility Metabolism & Wellness P C
• Mobility Metabolism & Wellness, P.C.
• Mobility Rehab LLC
• Norma Denise Mobley, M.D.
• Brittany Ann Mock, DO

• Customized Equipment (DME) in Mobile, AL
• Providers in Mobile, AL by specialty
• Customized Equipment (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.