Active NPI
Mobility Designs
- Customized Equipment (DME)
- Atlanta, GA
National Provider Identifier
1952357873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 20000596130
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000297899A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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
- Mobile Anesthesia of Georgia LLC (Mobile Anesthesiologists of Georgia)
- Mobile Dental of Georgia LLC
- Mobile Healthcare Providers, LLC
- Mobile Pride Properties, LLC
- Mobility Bridge Transport LLC
- Faraanak Mobini, PA-S
- Estella Lee Mobley, CRNA
- Holly Free Mobley, CCC-SLP
- Letitia McDowell Mobley, MD
- Robert E Mobley, MD
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.