Kevin Miles Mobley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3115 Issued in NC

Practice address

141 A South Main St
Kernersville, NC 27284-2757

Phone

(336) 993-7800

Fax

(336) 996-7800

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Chiropractic

  • Clinic/Center
  • Easley, SC
  • NPI 1962644179

  Chiropractor

  Medicare reassignment NPD Authorized official
• Colin R Caddell DC PA

  • Chiropractor
  • Greensboro, NC
  • NPI 1922104090
  NPD (past)
• Stroud Chiropractic PLLC

  • Chiropractor
  • Archdale, NC
  • NPI 1821045071
  NPD (past)
• Community Chiropractic

  • Chiropractor
  • Easley, SC
  • NPI 1992989644
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205909009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 A SOUTH MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842757",
            "telephone_number": "336-993-7800",
            "fax_number": "336-996-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 A SOUTH MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842757",
            "telephone_number": "336-993-7800",
            "fax_number": "336-996-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "KEVIN",
        "middle_name": "MILES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Mitchell
• Wendy Hall Mitchell, OTR/L
• Willie Patrick Mitchell, PTA, COTA
• Lora Mize
• MM Home Care, LLC (Angels of Care)
• Mockingbird Nutrition Counseling L.L.C.
• Courtney Monde
• Monolias Care and Consulting Services LLC
• Shawanna Nicole Moore-Geter, LCMHC
• Amber Moore, LCAS, SAP

• Chiropractor in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.