Matrix Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

14001981 Issued in GA

Legal business name

MATRIX MOBILITY LLC

Practice address

165 Edge Rd
Suite 103
Villa Rica, GA 30180-9169

Phone

(678) 941-3891

Fax

(678) 264-0918

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Stephant Payton

Title

Ceo

Phone

(678) 941-3891

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1417318015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806425",
            "telephone_number": "678-941-3891",
            "fax_number": "678-264-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 EDGE RD",
            "address_2": "SUITE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809169",
            "telephone_number": "678-941-3891",
            "fax_number": "678-264-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "STEPHANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-941-3891"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "14001981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Deneen Martin
• Sarah J Martin, DPT
• Thor Martin, RN
• Sarah Joann Matheka, PMHNP-BC
• Matrix Mobility & Healthcare Products, LLC
• Jody Allen Matthews, D.C. B.A.
• Shannon L May, RN FNP C
• April Monique McConico
• Betsy McCowen, PHARM. D.
• Sherri J. McCoy, L.P.C.

• 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 Mar 10, 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.