David J. Mock, MD, PA
Organization Active NPI Multi-Specialty Clinic/Center · Murphy, NC
NPI 1134565872 · NPPES record last updated May 21, 2013
Key facts
- NPI
- 1134565872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- DAVID J. MOCK, MD, PA
- Practice address
- 3765 E Hwy 64 Alt
Suite 9
Murphy, NC 28906 - Phone
- (828) 835-3111
- Fax
- (828) 835-3592
- NPI assigned
- May 21, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. David J. Mock
- Title
- MD/President
- Phone
- (828) 835-3111
Practitioners 1
-
David John Mock, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130604000402 | NC | Part B Supplier - Clinic/Group Practice | 5890933717 |
Receives reassigned benefits from 1 practitioner Practice locations: Murphy, NC |
National Provider Directory
Locations
93 Family Church Rd
Ste A
Murphy, NC 28906
Phone (828) 835-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
3765 E Hwy 64 Alt
Suite 9
Murphy, NC 28906
Mailing address
PO Box 1719
Andrews, NC 28901-1719
Other providers in Murphy, NC
- D. Duncan Sumpter, P.C.
- D. Duncan Sumpter, PC
- D. Duncan Sumpter, PC
- Daniel M Eichenbaum, MD, PA
- Jenny Lori Davenport
- Karen Ann Davis
- Lizbeth Keely Davis
- David Dennis
- Mary Deyoung
- Katelyn Dillard
All providers in Murphy, NC · Multi-Specialty Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.