MATRIX MOBILITY & HEALTHCARE PRODUCTS, LLC
NPI 1417066515
Durable Medical Equipment & Medical Supplies in Villa Rica, GA

Q: What is Matrix Mobility & Healthcare Products, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since August 30, 2006

125 COMMONS WAY, SUITE 203, VILLA RICA, GA 30180(770) 456-8018(678) 228-1424 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matrix Mobility & Healthcare Products, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATRIX MOBILITY & HEALTHCARE PRODUCTS, LLC (NPI 1417066515) is a healthcare organization registered as a durable medical equipment & medical supplies in Villa Rica, Georgia and active in the NPI registry since August 2006. The organization lists Stephant Tyrone Payton, President/ownwer, as its authorized official.

NPPES Registry Identity

NPI1417066515

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMATRIX MOBILITY & HEALTHCARE PRODUCTS, LLC

Location Address125 COMMONS WAY, SUITE 203Villa Rica, GA 30180-7038

Mailing Address125 Commons Way, Suite 203Villa Rica, GA 30180-7038 · (770) 456-8018 · Fax (678) 228-1424

Phone(770) 456-8018

Fax(678) 228-1424

Organization SubpartNo

Authorized OfficialStephant Tyrone PaytonPresident/ownwer · (770) 456-8018

Enumeration DateAugust 30, 2006

Last NPPES UpdateDecember 1, 2011

✔ NPI 1417066515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

125 COMMONS WAY, Villa Rica, GA 30180

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Other Identifiers 3

Other52210310GA · Bcbs

Medicaid441911409AGA

Medicare NSC5785570001GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matrix Mobility & Healthcare Products, LLC's NPI number?

The NPI number for Matrix Mobility & Healthcare Products, LLC is 1417066515. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Matrix Mobility & Healthcare Products, LLC located?

Matrix Mobility & Healthcare Products, LLC is located at 125 Commons Way Suite 203, Villa Rica, GA 30180. The listed phone number is (770) 456-8018.

What is Matrix Mobility & Healthcare Products, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Matrix Mobility & Healthcare Products, LLC was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.