Organization Active NPI

Donald Jason Jolley

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
National Provider Identifier
1992339220
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DONALD JASON JOLLEY
Doing business as
Freedom Mobility and Medical
Practice address
2306 Chesnee Hwy
Suite #6
Spartanburg, SC 29303-5507
Phone
(864) 574-4470
Fax
(864) 575-3739
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Donald Jason Jolley
Title
Owner
Phone
(864) 574-4470

Specialties & licenses 1

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

Addresses

Primary practice location

2306 Chesnee Hwy
Suite #6
Spartanburg, SC 29303-5507

Mailing address

2306 Chesnee Hwy
Suite #6
Spartanburg, SC 29303-5507
Phone (864) 574-4470

Other names 1

  • Freedom Mobility and Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1413 Wo Ezell Blvd
Spartanburg, SC 29301
Phone (864) 978-7349

2306 Chesnee Hwy
Ste 6
Spartanburg, SC 29303
Phone (864) 574-4470

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1992339220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 CHESNEE HWY",
            "address_2": "SUITE #6",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035507",
            "telephone_number": "864-574-4470",
            "fax_number": "864-575-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 CHESNEE HWY",
            "address_2": "SUITE #6",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035507",
            "telephone_number": "864-574-4470",
            "fax_number": "864-575-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD JASON JOLLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-574-4470"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Mobility and Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freedom Mobility and Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.