JEREMIAH MOBLEY (NPI# 1336596261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336596261 |
| Entity Type | Individual |
| Full Name | JEREMIAH MOBLEY |
| Credential | MBID, ATC |
| Practice Address |
536 Newnan St Carrollton GA 30117-3344 |
| Practice Telephone | 7705772360 |
| Mailing Telephone | 7705772360 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001625 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | HAA000150 | GA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7421 Douglas Blvd Ste F, Douglasville, GA 301351564 | 7705572360 |
| Street Address |
536 NEWNAN ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649372152 | Jean Renee Rooks | Nurse Practitioner | 536 Newnan St, Carrollton, GA 30117-3344 | 2006-09-04 |
| 1922290865 | Family Healthcare of West Ga. | Clinic/Center | 536 Newnan St, Carrollton, GA 30117-3344 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376020222 | Brian Mcfarlin | Hearing Instrument Specialist | 3044 Old Denton Rd Ste 121, Carrollton, TX 75007-5099 | 2018-07-24 |
| 1073764072 | Phillip Lynn Henderson | Hearing Instrument Specialist | 1411 Lemay Dr Ste 403, Carrollton, TX 75007-4924 | 2008-10-08 |
| 1912043340 | Cynthia L Lockhart | Hearing Instrument Specialist | 1100 N Maryland St, Carrollton, TX 75006-6319 | 2007-01-30 |
| 1508813536 | Peb Enterprises Inc | Hearing Instrument Specialist | 1017 East Trinity Mills Rd, #120, Carrollton, TX 75006-1458 | 2006-05-27 |
| 1659358315 | Peter R Berry | Hearing Instrument Specialist | 1017 East Trinity Mills Rd., Ste. 120, Carrollton, TX 75006-1458 | 2005-12-23 |
| 1841275641 | Robert C Bare | Hearing Instrument Specialist | 1411 Lemay Dr, Ste 403, Carrollton, TX 75007-4934 | 2005-12-14 |
| 1386187268 | Mary W Smith | Hearing Instrument Specialist | 200 Glen Eagle Ct, Suite 10b, Carrollton, GA 30117-4267 | 2016-11-28 |
| 1275998742 | David D Steele | Hearing Instrument Specialist | 3740 N Josey Ln, Ste 125, Carrollton, TX 75007-2474 | 2015-12-28 |
| 1942436894 | Phillip Craig Turley | Hearing Instrument Specialist | 3740 N Josey Ln, Suite 125, Carrollton, TX 75007-2474 | 2009-06-05 |
| 1780870105 | Jeremy L Collinsworth | Hearing Instrument Specialist | 3740 N Josey Ln, Ste 125, Carrollton, TX 75007-2474 | 2007-09-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on JEREMIAH MOBLEY.
| 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.