Organization Active NPI

Mobility Designs

  • Customized Equipment (DME)
  • Atlanta, GA
National Provider Identifier
1952357873
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
20000596130 Issued in GA
Legal business name
MOBILITY DESIGNS
Practice address
3715 Northcrest Rd
Suite 28
Atlanta, GA 30340-3411
Phone
(770) 458-1329
Fax
(770) 457-3229
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Larry Ezzard
Title
President
Phone
(770) 458-1329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 20000596130 GA Primary

Addresses

Primary practice location

3715 Northcrest Rd
Suite 28
Atlanta, GA 30340-3411

Mailing address

3715 Northcrest Rd
Suite 28
Atlanta, GA 30340-3411
Phone (770) 458-1329

Other identifiers 1

IdentifierTypeStateIssuer
000297899AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3715 Northcrest Rd
Ste 28
Atlanta, GA 30340
Phone (770) 458-1329

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1952357873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 NORTHCREST RD",
            "address_2": "SUITE 28",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403411",
            "telephone_number": "770-458-1329",
            "fax_number": "770-457-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHCREST RD",
            "address_2": "SUITE 28",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403411",
            "telephone_number": "770-458-1329",
            "fax_number": "770-457-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "EZZARD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-458-1329"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "20000596130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000297899A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.