Laura Jean Mock, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9501010 Issued in NC

Practice address

1040 Vinehaven Drive
Concord, NC 28025-2438

Phone

(704) 784-1010

Fax

(704) 784-1013

NPI assigned

Feb 28, 2006

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: laura.mock@direct.concordchildrensclinic.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cabarrus Pediatric Practice, Inc

  dba Cabarrus Pediatrics

  • Pediatrics Physician
  • Concord, NC
  • NPI 1295797272
  NPD (past)
• Carolinas Physicians Network Inc

  dba Atrium Health Levine Children's Cabarrus Pediatrics

  • Pediatrics Physician
  • Concord, NC
  • NPI 1245759166
  NPD (past)
• Concord Children's Clinic

  • Pediatrics Physician
  • Concord, NC
  • NPI 1679589212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1033185053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 VINEHAVEN DRIVE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "704-784-1010",
            "fax_number": "704-784-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 VINEHAVEN DRIVE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "704-784-1010",
            "fax_number": "704-784-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9501010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "847472",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959828",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "59778",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5413047",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59828",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mmi Holdings LLC (Medical Modalities)
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• Emily Lemchuk Mobley, DO
• Ryan Scott Mobley, DO
• Modern Eye Care OD PA (Modern Eye Care of Afton Village)
• Natalya Mokhor
• Mark E Moler
• Misty G Moler, LPCS
• Monarch

• Pediatrics Physician in Concord, NC
• Providers in Concord, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.