Individual provider Active NPI

Karen J Mockler, MD

  • Family Medicine Physician
  • Dadeville, AL
National Provider Identifier
1407879083
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4555 Issued in AL
Practice address
1034 South Tallassee Street
Dadeville, AL 36853
Phone
(256) 825-9900
Fax
(256) 825-6620
NPI assigned
Jul 25, 2006
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4555 AL Primary

Addresses

Primary practice location

1034 South Tallassee Street
Dadeville, AL 36853

Mailing address

1034 South Tallassee Street
Dadeville, AL 36853
Phone (256) 825-9900

Other identifiers 3

IdentifierTypeStateIssuer
51521935OtherALBLUE CROSS PROVIDER NUMBE
P00164084OtherALMEDICARE RAILROAD
M0009954235MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040628001144 AL Practitioner - Family Practice 8527044700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.09 of 100Reported as group
Quality
52.05
Promoting interoperability
80
Improvement activities
40
Cost
68.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4555ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation CurrentSince Jun 1, 2004 Accepting new patients
Russell Hospital Corporation Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Russell Hospital Corporation Family Medicine CurrentSince Jun 1, 2004 Accepting new patients
Russell Hospital Corporation Current Accepting new patients

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

1034 S Tallassee St
Dadeville, AL 36853
Phone (256) 825-9900

Interoperability endpoints

  • Direct secure messaging: kmockler@direct.summit-healthcare.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1407879083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SOUTH TALLASSEE STREET",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "36853",
            "telephone_number": "256-825-9900",
            "fax_number": "256-825-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SOUTH TALLASSEE STREET",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "36853",
            "telephone_number": "256-825-9900",
            "fax_number": "256-825-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKLER",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "51521935",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00164084",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0009954235",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dadeville, AL

Sources for this page

Verify at the official NPI Registry.