Bennie Dean Mobley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000912 Issued in GA

Practice address

3999 Hwy 34 East
Sharpsburg, GA 30277

Phone

(770) 304-2025

Fax

(678) 854-9941

NPI assigned

Oct 21, 2005

Last updated

Oct 28, 2022By 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 3

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deanmobley@direct.eyecare-partners.com
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

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.

• Clarkson Optometry Georgia Inc

  dba Clarkson Eyecare

  • Optometrist
  • Alpharetta, GA
  • NPI 1184802670
  Medicare reassignment NPD
• Eyecontact Inc.

  • Optometrist
  • Acworth, GA
  • NPI 1407054232
  NPD (past)
• Georgia Eye Services, LLC

  • Optometrist
  • Austell, GA
  • NPI 1669709473
  NPD (past)
• TJ Roberts, LLC

  dba Every Eye Care

  • Optometrist
  • Fayetteville, GA
  • NPI 1386200046
  NPD (past)
• State of Mississippi - University of Mississippi Medical Center

  dba Holmes County Hospital and Clinic

  • Critical Access Hospital
  • Lexington, MS
  • NPI 1386630705
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1215926233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 HWY 34 EAST",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "30277",
            "telephone_number": "770-304-2025",
            "fax_number": "678-854-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 HWY 34 EAST",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "30277",
            "telephone_number": "770-304-2025",
            "fax_number": "678-854-9941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 E West Connector Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301066812",
            "country_code": "US",
            "telephone_number": "770-941-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "BENNIE",
        "middle_name": "DEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41ZCDSB",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00214629C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41ZCDPR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia McEnhill
• Savannah Michael McKenzie, MD
• Ashleigh McQuirter, DDS
• Amanda Conner Miller, NP
• Mobley Eye Care of Sharpsburg
• Suzanne Mary Molesky, OTR
• Beth Motola, OTR/L
• Anna Nance, LPC
• Joy Neely
• Kimberly Diane Neely, CSFA

• Optometrist in Sharpsburg, GA
• Providers in Sharpsburg, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.