Matrix Mobility & Healthcare Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MATRIX MOBILITY & HEALTHCARE PRODUCTS, LLC

Practice address

125 Commons Way
Suite 203
Villa Rica, GA 30180-7038

Phone

(770) 456-8018

Fax

(678) 228-1424

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephant Tyrone Payton

Title

President/Ownwer

Phone

(770) 456-8018

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1417066515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMONS WAY",
            "address_2": "SUITE 203",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807038",
            "telephone_number": "770-456-8018",
            "fax_number": "678-228-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMONS WAY",
            "address_2": "SUITE 203",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807038",
            "telephone_number": "770-456-8018",
            "fax_number": "678-228-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MOBILITY & HEALTHCARE PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "STEPHANT",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "PRESIDENT/OWNWER",
        "authorized_official_telephone_number": "770-456-8018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441911409A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52210310",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Eye Optical Inc
• Ariel Deneen Martin
• Sarah J Martin, DPT
• Thor Martin, RN
• Sarah Joann Matheka, PMHNP-BC
• Matrix Mobility LLC
• Jody Allen Matthews, D.C. B.A.
• Shannon L May, RN FNP C
• April Monique McConico
• Betsy McCowen, PHARM. D.

• Durable Medical Equipment & Medical Supplies in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.