Mobile Healthcare Providers, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

MOBILE HEALTHCARE PROVIDERS, LLC

Practice address

3788 Oxford Cir
Atlanta, GA 30340-7700

Phone

(716) 472-5201

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Lizette Simmons, FNPNPI 1770295594

Title

FNP/Owner

Phone

(716) 472-5207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Lizette Simmons

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1770295594
  Medicare reassignment NPD Authorized official
• Cydni Noel Martin, PA

  • Physician Assistant
  • Decatur, GA
  • NPI 1144809708
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1528752383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 OXFORD CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303407700",
            "telephone_number": "716-472-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 OXFORD CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303407700",
            "telephone_number": "716-472-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTHCARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LIZETTE",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "716-472-5207",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naghmeh Moadab, PSYD
• Mikayla Moaney
• Mirriam Khuduga Moate
• Mobile Anesthesia of Georgia LLC (Mobile Anesthesiologists of Georgia)
• Mobile Dental of Georgia LLC
• Mobile Pride Properties, LLC
• Mobility Bridge Transport LLC
• Mobility Designs
• Faraanak Mobini, PA-S
• Estella Lee Mobley, CRNA

• Community Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.