Evan Russell Mobley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1233 Poston PL SE
Smyrna, GA 30080-1917

Phone

(706) 294-1942

NPI assigned

May 23, 2022

Last updated

May 23, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1376281121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 POSTON PL SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801917",
            "telephone_number": "706-294-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "EVAN",
        "middle_name": "RUSSELL",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Mingo
• Winellen Miranda
• Samantha Mitchell, AGPCNP-BC
• Kunal Mitra, MD, MBA
• MLC Consulting, LLC
• Edith Mobolade, DC
• Modern Teleradiology, LLC
• Molecular7 DX
• Cesar Sebastian Molina Andrade, M.D.
• Angela Monette, LCSW

• Occupational Therapy Assistant in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.