Organization Active NPI

Southwest Mobility Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Brunswick, GA
National Provider Identifier
1891711032
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHWEST MOBILITY INCORPORATED
Practice address
2500 Starling St
Suite 105
Brunswick, GA 31520-4219
Phone
(912) 342-1004
Fax
(912) 342-1006
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Mrs. Sabrina Farmer
Title
Secretary
Phone
(386) 426-2970

Specialties & licenses 1

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

Addresses

Primary practice location

2500 Starling St
Suite 105
Brunswick, GA 31520-4219

Mailing address

PO Box 42
New Smyrna Beach, FL 32170-0042
Phone (386) 426-2970

Other identifiers 2

IdentifierTypeStateIssuer
825649194AMedicaidGA
52069832OtherGAGA BCBS

Other names 1

  • Scooter Mobility Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1891711032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321700042",
            "telephone_number": "386-426-2970",
            "fax_number": "386-426-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 105",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204219",
            "telephone_number": "912-342-1004",
            "fax_number": "912-342-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MOBILITY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "386-426-2970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825649194A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BCBS",
            "identifier": "52069832",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scooter Mobility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.