Provider Demographics
NPI:1851252969
Name:AGILITAS MOBILITY INC
Entity type:Organization
Organization Name:AGILITAS MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WHATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-353-1099
Mailing Address - Street 1:315 WHITEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-1507
Mailing Address - Country:US
Mailing Address - Phone:706-353-1099
Mailing Address - Fax:706-613-2755
Practice Address - Street 1:315 WHITEHEAD RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-1507
Practice Address - Country:US
Practice Address - Phone:706-353-1099
Practice Address - Fax:706-613-2755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment