Individual provider Active NPI

David John Mock, MD

  • Specialist
  • Murphy, NC
National Provider Identifier
1063458032
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9500412 Issued in NC
Practice address
3765 E US Highway 64 Alt Ste 9
Murphy, NC 28906-6967
Phone
(828) 835-3111
Fax
(828) 835-3592
NPI assigned
Jun 20, 2006
Last updated
May 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9500412 NC Primary

Addresses

Primary practice location

3765 E US Highway 64 Alt Ste 9
Murphy, NC 28906-6967

Mailing address

PO Box 1719
Andrews, NC 28901-1719
Phone (828) 835-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000048 NC Practitioner - Internal Medicine 3779497763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

93 Family Church Rd
Suite a
Murphy, NC 28906-8893
Phone (828) 835-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9500412NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Mock, MD, PA CurrentSince Aug 23, 1996 Accepting new patients

Locations

3765 E US 64 Alt
Ste 9
Murphy, NC 28906
Phone (828) 835-2005

93 Family Church Rd
Ste A
Murphy, NC 28906
Phone (828) 835-3111

Interoperability endpoints

  • Direct secure messaging: david.mock@561134533410820.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1063458032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1719",
            "city": "ANDREWS",
            "state": "NC",
            "postal_code": "289011719",
            "telephone_number": "828-835-3111",
            "fax_number": "828-835-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E US HIGHWAY 64 ALT STE 9",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066967",
            "telephone_number": "828-835-3111",
            "fax_number": "828-835-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9500412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.