Mary Montgomery Mobley, NP-C, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN2063359 Issued in GA

Practice address

190 Greencastle Rd
Tyrone, GA 30290-2936

Phone

(770) 487-7807

NPI assigned

Oct 24, 2012

Last updated

Sep 16, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1326391590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 ELEANORS TRCE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902936",
            "telephone_number": "770-487-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 26th St NW Apt 6206",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091929",
            "country_code": "US",
            "telephone_number": "478-718-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "MARY",
        "middle_name": "MONTGOMERY",
        "credential": "NP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN2063359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wallace Merrill, LAPC
• C.Jennifer Ashley Metzger, FNP
• Andree Michele Miceli, LCSW
• Milford Medical Mangement
• Melissa Miner
• Carly Moody, RBT
• Anna Maria Moore
• David Richard Moore III, DC
• Elizabeth Ann Moore, M.D.
• Patricia Moore, M.D.

• Adult Health Nurse Practitioner in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.