MOBILE PHYSICIAN SERVICES, LLC (NPI# 1477826493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477826493 |
| Entity Type | Organization |
| Organization Name | MOBILE PHYSICIAN SERVICES, LLC |
| Practice Address |
1171 Laurel Pointe Bogart GA 30622-2859 |
| Practice Telephone | 7066140828 |
| Practice Fax Number | 7062622871 |
| Mailing Telephone | 7066140828 |
| Mailing Fax Number | 7062622871 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | MR. DON WRIGHT (PRESIDENT) |
| Authorized Official Telephone | 7066140828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
1171 LAUREL POINTE |
| City | BOGART |
| State | GA |
| Zip Code | 30622-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235559113 | Hyperbaric Wound Technology, Inc. Dba Health Wright Technologies, Inc. | Specialist/Technologist, Other | 1171 Laurel Pointe, Bogart, GA 30622-2859 | 2014-04-18 |
| 1164848198 | Don Wright | Specialist/Technologist, Other | 1171 Laurel Pointe, 1171 Laurel Pointe, Bogart, GA 30622-2859 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108266 | Catherine Colquitt | Specialist/Technologist | 1081 Rocky Branch Rd, Bogart, GA 30622 | 2017-07-27 |
| 1154864775 | Hampton Valley Health Center, Inc. | Chiropractor | 2881 Monroe Highway, Suite 701, Bogart, GA 30622 | 2016-11-30 |
| 1740298728 | Thomas W Mccormack Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-04 |
| 1659308872 | Blue Laser Group | Ophthalmology | 1747 Langford Drive, Building 400, Suite 101, Bogart, GA 30622 | 2006-06-26 |
| 1225076821 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1751 Meriweather Dr, Bogart, GA 30622 | 2006-06-03 |
| 1205837374 | Terrance L Hughes | Specialist | 1500 Langford Medical Dr., Bldg 200, Bogart, GA 30622 | 2005-08-10 |
| 1922590892 | Inside Out Therapy Services | Occupational Therapist | 1450 Eden Ave, Bogart, GA 30622 | 2018-06-05 |
| 1144517038 | Gentry Broach Tolbert | Nurse Practitioner | 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 | 2011-06-30 |
| 1083736961 | Edward J Fisher Jr Md Inc | Psychiatry & Neurology | 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 | 2007-04-04 |
| 1760504641 | Andrew Philip Heidesch | Marriage & Family Therapist | 1361 Jennings Mill Road, Suite 201, Bogart, GA 30622 | 2007-04-04 |
| Find all providers in zip 30622 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185237 | Guillaume J Pinguet | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4760 Austell Rd Ste A, Austell, GA 30106-2007 | 2018-08-24 |
| 1790288587 | Acc3 International, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3340 Peachtree Rd Ne Ste 2025, Atlanta, GA 30326-1084 | 2018-03-17 |
| 1053858761 | Mobile Medical Imaging of Coastal Georgia, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5906 Hwy 21 S, Unit 4, Springfield, GA 31326-5505 | 2017-01-20 |
| 1013392315 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3500 Lenox Rd Ne, Suite 1500, Atlanta, GA 30326-4228 | 2015-07-28 |
| 1144609876 | Optimus Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 252 Holt Ave, Macon, GA 31201-1227 | 2015-05-27 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1023410842 | The Pink Ribbon Mammography and Diagnostic Radiology Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 33 Darbys Ave, Hiram, GA 30141-4143 | 2014-09-24 |
| 1306140215 | Avery Partners, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1455 Old Alabama Rd Ste 160, Roswell, GA 30076-2167 | 2011-01-06 |
| 1700190105 | Source Diagnostics of Georgia, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5559 Thomaston Rd, Macon, GA 31220-8120 | 2010-07-28 |
| 1164670667 | Home Care Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 187 Sherwood Forest Dr, Douglasville, GA 30134-5808 | 2008-09-09 |
| Find all providers with the same taxonomy | ||||
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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.