Organization Active NPI

Payton Mobility

Doing business as Matrix Mobility

  • Durable Medical Equipment & Medical Supplies
  • Villa Rica, GA
National Provider Identifier
1427400456
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAYTON MOBILITY
Doing business as
Matrix Mobility
Practice address
165 Edge Rd Ste 103
Villa Rica, GA 30180-9169
Phone
(678) 941-3891
Fax
(678) 228-1424
NPI assigned
Jul 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Mr. Stephant Payton
Title
Owner
Phone
(678) 491-9338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

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

Mailing address

165 Edge Rd Ste 103
Villa Rica, GA 30180-9169
Phone (678) 941-3891

Other names 1

  • Matrix Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

165 Edge Rd
Ste 103
Villa Rica, GA 30180
Phone (678) 941-3891

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1427400456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 EDGE RD STE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809169",
            "telephone_number": "678-941-3891",
            "fax_number": "678-228-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 EDGE RD STE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809169",
            "telephone_number": "678-941-3891",
            "fax_number": "678-228-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYTON MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "STEPHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-491-9338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

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