Southern Mobility Specialists Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTHERN MOBILITY SPECIALISTS INC

Doing business as

Southern Mobility Specialists

Practice address

205 County Road 441
Houston, MS 38851-7642

Phone

(662) 448-1179

Fax

(662) 448-1189

NPI assigned

Oct 4, 2019

Last updated

Jun 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Regina Grimes, PT, C/NDT, ATPNPI 1255355947

Title

Vice President

Phone

(662) 448-1179

Specialties & licenses 1

Addresses

Other names 1

• Southern Mobility Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southern Mobility Specialists Inc

  dba Southern Mobility Specialists

  • Customized Equipment (DME)
  • Tupelo, MS
  • NPI 1669133443

  0042640344

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Southern Mobility Specialists Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Mobility Specialists Inc

  dba Southern Mobility Specialists

  • Customized Equipment (DME)
  • Tupelo, MS
  • NPI 1669133443
  NPD tax ID
• Southern Mobility Specialists Inc

  dba Southern Mobility Specialists

  • Durable Medical Equipment & Medical Supplies
  • Selmer, TN
  • NPI 1932024437
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southern Mobility Specialists Inc

  dba Southern Mobility Specialists

  • Customized Equipment (DME)
  • Tupelo, MS
  • NPI 1669133443
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Lynn Grimes, PT, C/NDT, ATP

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Houston, MS
  • NPI 1255355947
  NPD Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1407497977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COUNTY ROAD 441",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517642",
            "telephone_number": "662-448-1179",
            "fax_number": "662-448-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COUNTY ROAD 441",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517642",
            "telephone_number": "662-448-1179",
            "fax_number": "662-448-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MOBILITY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "662-448-1179",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, C/NDT, ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Mobility Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Mobility Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Health Corp of Houston, Inc. (Trace Regional Hospital)
• Southern Health Corp. of Houston, Inc (Family Medical Clinic of Houston)
• Southern Health Corp. of Houston, Inc (Trace Regional Hospital)
• Southern Health Corp. of Houston, Inc. (Trace Regional Hospital)
• Southern Health Corp. of Houston, Inc. (Trace Family Health & Internal Medicine)
• Mary Alexandra Springer, NP
• Gladys Carla Staten
• Tamica N Stephens, PHARMD
• Clarence Wilborn Tapley III, PT
• Whitney Tate, FNP-BC, PMHNP-BC

• Customized Equipment (DME) in Houston, MS
• Providers in Houston, MS by specialty
• Customized Equipment (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.