Healthcare Provider Details

I. General information

NPI: 1841194537
Provider Name (Legal Business Name): SAGE MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3822 N ELM ST STE 102
GREENSBORO NC
27455-2596
US

IV. Provider business mailing address

150 COBBLESTONE WALK DR
GREENSBORO NC
27455-8420
US

V. Phone/Fax

Practice location:
  • Phone: 336-346-9998
  • Fax:
Mailing address:
  • Phone: 336-346-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLUGBEMIGA E JEGEDE
Title or Position: OWNER/MANAGING MEMBER
Credential: MD
Phone: 810-908-9996