Individual provider Active NPI

Taylor Lindsey Mobley, MD

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1386272987
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31641 Issued in MS
Practice address
1129 Hale Rd
Memphis, TN 38116-6373
Phone
(901) 488-1864
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 31641 MS Primary

Addresses

Primary practice location

1129 Hale Rd
Memphis, TN 38116-6373

Mailing address

1129 Hale Rd
Memphis, TN 38116-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20200418000576 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4981034782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31641MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Children's Clinic,PLLC Pediatrics Past Accepting new patients
Memphis Children's Clinic, PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tmobley@linux.pcc-direct.com
  • Direct secure messaging: tmobley34251@mlh.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1386272987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 HALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166373",
            "telephone_number": "901-488-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "TAYLOR",
        "middle_name": "LINDSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "31641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.