Freedom Mobility Center, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FREEDOM MOBILITY CENTER, INC.

Practice address

310 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364

Phone

(704) 658-0817

Fax

(704) 658-0936

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By 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

John Gilbert Cotham

Title

Ceo

Phone

(704) 658-0817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Savannah, GA
  • NPI 1073174603

  5698989440

  Same PAC ID
• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1710408836

  5698989440

  Same PAC ID
• Freedom Mobility Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
  • NPI 1871665737

  5698989440

  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

Freedom Mobility Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Freedom Mobility Center, Inc

  • Customized Equipment (DME)
  • Middlesboro, KY
  • NPI 1417788944
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Savannah, GA
  • NPI 1073174603
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1710408836
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
  • NPI 1871665737
  NPD tax ID

Locations

Practitioners 2

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.

• Mohammad Amjad, MD

  • Internal Medicine Physician
  • Mount Hope, WV
  • NPI 1770536583
  NPD (past)
• Robin Lynn Chianumba, FNP

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1427142660
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1477148773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TALBERT POINTE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174377",
            "telephone_number": "704-658-0817",
            "fax_number": "704-658-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701364",
            "telephone_number": "704-658-0817",
            "fax_number": "704-658-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MOBILITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "COTHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-658-0817"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney W Fisher, DO
• Harold Raymond Fleschner, DCCRP
• Sharon Reynolds Fleschner, MA
• Kyle F Fort, MD
• Savannah Foster, RD, LD
• Ashley Elizabeth Freeman, PA-C
• Fritz S Pharmacy and Wellness Center
• Carol Garten
• Brittany Danielle Gibson
• William F Gibson, MPT

• Customized Equipment (DME) in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Customized Equipment (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.