PEDIATRIC MOBILITY INNOVATIONS (NPI# 1255897419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255897419 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC MOBILITY INNOVATIONS |
| Practice Address |
3114 Augusta Tech Drive Suite 404 Augusta GA 30906 |
| Practice Telephone | 7064963174 |
| Mailing Telephone | 7064963174 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | SETH DOWNIE (PRESIDENT) |
| Authorized Official Telephone | 8033991142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| Street Address |
3114 AUGUSTA TECH DRIVE SUITE 404 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
| 1659939486 | Extraordinary Homecare LLC | Durable Medical Equipment & Medical Supplies | 410 Brookside Ct, Augusta, GA 30904-3504 | 2019-06-05 |
| 1902369267 | One Source Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3070 Damascus Rd Ste A, Augusta, GA 30909-4065 | 2019-04-12 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1922559350 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5303-a Wrightsboro Rd, Augusta, GA 30813-0000 | 2016-10-20 |
| 1841649639 | Kennebec Pharmacy and Home Care LLC | Durable Medical Equipment & Medical Supplies | 11 Medical Center Pkwy Ste A, Augusta, ME 04330-8158 | 2016-06-13 |
| 1730583659 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 300 S Belair Rd, Augusta, GA 30907-9337 | 2014-10-21 |
| 1699179317 | Orbs Ltd | Durable Medical Equipment & Medical Supplies | 2004 Westside Dr, Augusta, GA 30907-9211 | 2014-10-09 |
| 1942616107 | Duramed Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1543 15th St, Augusta, GA 30901-3459 | 2014-07-09 |
| 1639590508 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3338 Wrightsboro Rd, Augusta, GA 30909-2811 | 2013-12-19 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.