MATRIX MOBILITY LLC
NPI 1417318015
Durable Medical Equipment & Medical Supplies in Villa Rica, GA

Active since March 10, 2016
165 EDGE RD, SUITE 103, VILLA RICA, GA 30180(678) 941-3891(678) 264-0918 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matrix Mobility Llc NPPES

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

MATRIX MOBILITY LLC (NPI 1417318015) is a healthcare organization registered as a durable medical equipment & medical supplies in Villa Rica, Georgia and active in the NPI registry since March 2016. The organization lists Stephant Payton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417318015
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMATRIX MOBILITY LLC
Location Address165 EDGE RD, SUITE 103Villa Rica, GA 30180-9169
Mailing AddressPo Box 1678Villa Rica, GA 30180-6425 · (678) 941-3891 · Fax (678) 264-0918
Fax(678) 264-0918
Organization SubpartNo
Authorized OfficialStephant PaytonCeo · (678) 941-3891
Enumeration DateMarch 10, 2016
NPI 1417318015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in GA · 14001981
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.

165 EDGE RD, Villa Rica, GA 30180

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
165 EDGE RD, SUITE 103
VILLA RICA, GA 30180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417318015, enumerated as an "organization" on March 10, 2016.

The provider is located at 165 EDGE RD SUITE 103 VILLA RICA, GA 30180 and the phone number is (678) 941-3891.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.