Freedom Mobility Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

600390323 Issued in NC

Legal business name

FREEDOM MOBILITY CENTER, INC.

Practice address

110 Talbert Pointe Dr
Mooresville, NC 28117-4377

Phone

(704) 658-0817

Fax

(704) 658-0936

NPI assigned

Nov 15, 2006

Last updated

Mar 3, 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

Mr. John Gilbert Cotham

Title

Ceo

Phone

(704) 658-0817

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

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)
  • Ronceverte, WV
  • NPI 1477148773

  5698989440

  Same PAC ID
• Freedom Mobility Center, Inc.

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

  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)
  • Ronceverte, WV
  • NPI 1477148773
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1710408836
  NPD tax ID

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1871665737",
    "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": "110 TALBERT POINTE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174377",
            "telephone_number": "704-658-0817",
            "fax_number": "704-658-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MOBILITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "600390323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703634",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1138",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNER'S",
            "identifier": "804069",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "046J3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Franco, BCBA
• Helena Franco, IBCLC
• Nicole Cecilia Francois, FNP-BC/ APRN
• Fred King Jr OD, P.L.L.C.
• Emily Fred
• Shanequia Freeman
• Ashley E Friend
• Susan Friguglietti
• Patrick L. Fry, MD
• Fryar and Davidson Dentistry Partnership

• Durable Medical Equipment & Medical Supplies in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.