Sarita Darlene Mobley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

046872 Issued in GA

Practice address

1787 Broad St
Lumpkin, GA 31815-3045

Phone

(229) 838-4900

NPI assigned

Nov 9, 2006

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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Morehouse School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGAFDD/Endpoint/AGAFDD
• FHIR API: https://api.platform.athenahealth.com/10309/brand/1/csg/1/fhir/r4

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

• Providence Family Medicine Clinic, Inc

  • Family Medicine Physician
  • Lumpkin, GA
  • NPI 1346590148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1245300896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 BROAD ST",
            "address_2": "P.O. BOX 685",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "318153045",
            "telephone_number": "229-838-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 BROAD ST",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "318153045",
            "telephone_number": "229-838-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "SARITA",
        "middle_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133221A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lumpkin Drugs Inc
• Lumpkin Family Clinic
• Mental Retardation Wavier Program
• Mary Miller
• Catherine Reese Mobley
• Octavia Dechandra Morris, NP-C
• Omacare Home Services, LLC
• Providence Family Medicine Clinic, Inc
• William Lloyd Quam, NREMT
• Sundari Raju, MD

• Family Medicine Physician in Lumpkin, GA
• Providers in Lumpkin, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.
• 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.