Individual provider Active NPI

William Clifford Mobley, M.D.

  • Urology Physician
  • Mableton, GA
National Provider Identifier
1437152352
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
62918 Issued in GA
Practice address
499 Vinings Estates Dr SE
Mableton, GA 30126-5968
Phone
(563) 505-5226
NPI assigned
May 24, 2005
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036079127 IL
Urology Physician 208800000X 62918 GA Primary
Urology Physician 208800000X 2008-00149 NC

Addresses

Primary practice location

499 Vinings Estates Dr SE
Mableton, GA 30126-5968

Mailing address

499 Vinings Estates Dr SE
Mableton, GA 30126-5968
Phone (563) 505-5226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62918GAMDUrology Physician
036079127ILMDUrology Physician
2008-00149NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Associates PC Urology Current Accepting new patients

Locations

240 N Bluff Blvd
Ste 103
Clinton, IA 52732
Phone (319) 243-5600

3319 Spring St
Davenport, IA 52807
Phone (319) 359-1641

600 Valley View Dr
Moline, IL 61265
Phone (309) 757-7196

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1437152352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 VININGS ESTATES DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265968",
            "telephone_number": "563-505-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 VININGS ESTATES DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265968",
            "telephone_number": "563-505-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "WILLIAM",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036079127",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "62918",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2008-00149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.