Healthcare Provider Details

I. General information

NPI: 1851252969
Provider Name (Legal Business Name): AGILITAS MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 WHITEHEAD RD
ATHENS GA
30606-1507
US

IV. Provider business mailing address

315 WHITEHEAD RD
ATHENS GA
30606-1507
US

V. Phone/Fax

Practice location:
  • Phone: 706-353-1099
  • Fax: 706-613-2755
Mailing address:
  • Phone: 706-353-1099
  • Fax: 706-613-2755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. DUSTIN WILLIAM WHATLEY
Title or Position: CEO
Credential:
Phone: 706-353-1099