SOUTHERN MOBILITY AND MEDICAL, LLC (NPI# 1922035567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922035567 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MOBILITY AND MEDICAL, LLC |
| Practice Address |
503 Oberlin Rd Suite 207 Raleigh NC 27605-1381 |
| Practice Telephone | 8006818831 |
| Practice Fax Number | 8776113500 |
| Mailing Telephone | 8006818831 |
| Mailing Fax Number | 8776113500 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | MR. SCOTT H. DANNENBERG (PRESIDENT) |
| Authorized Official Telephone | 8006818831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 01024 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704279 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Southern Mobility and Medical, LLC | 503 Oberlin Rd Suite 207, Raleigh, NC 27605-1381 |
| Ohio Business Entities | SOUTHERN MOBILITY AND MEDICAL, LLC | 503 Oberlin Rd, Ste 207, Raleigh, NC 27605 |
| Indiana Business Entities | SOUTHERN MOBILITY AND MEDICAL, LLC | 503 Oberlin Rd., Ste 207, Raleigh, NC 27605-1381 |
| Oklahoma Business Registrations | SOUTHERN MOBILITY AND MEDICAL, LLC | 503 Oberlin Rd Ste 207, Raleigh, NC 27605-1381 |
| Street Address |
503 OBERLIN RD SUITE 207 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| 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 |
|---|---|---|---|---|
| 1306445648 | Good Hope Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 | 2020-10-19 |
| 1518573468 | Joemax Healthcare Services LLC | Durable Medical Equipment & Medical Supplies | 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 | 2020-09-16 |
| 1265059398 | Tiara Hyman | Durable Medical Equipment & Medical Supplies | 10040 Pineville Rd, Raleigh, NC 27617-6310 | 2020-07-06 |
| 1265055099 | Best American Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1100 Navaho Dr Ste 121, Raleigh, NC 27609-7364 | 2020-05-27 |
| 1619516978 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 417 W Peace St Ste 100, Raleigh, NC 27603-5017 | 2020-01-03 |
| 1205471521 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 500 Oberlin Rd, Raleigh, NC 27605-1318 | 2019-11-11 |
| 1326681164 | Wakemed Specialists Group, LLC | Durable Medical Equipment & Medical Supplies | 2930 Forestville Rd Ste 100, Raleigh, NC 27616-8774 | 2019-10-24 |
| 1558820266 | Active Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 9104 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-2494 | 2019-03-13 |
| 1912465311 | Shivag Diabetic Shoes and Orthotics LLC | Durable Medical Equipment & Medical Supplies | 3113 Brentwood Rd, Raleigh, NC 27604-2425 | 2019-03-05 |
| 1992273312 | Theramed Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 5720 Capital Blvd Ste G, Raleigh, NC 27616-2953 | 2018-11-03 |
| Find all providers in RALEIGH | ||||
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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.