Active NPI
William Clifford Mobley, M.D.
- Urology Physician
- Mableton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 62918
- Practice address
- 499 Vinings Estates Dr SE
Mableton, GA 30126-5968 - Phone
- (563) 505-5226
- NPI assigned
- May 24, 2005
- Last updated
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 62918 | GA | MD | Urology Physician |
| 036079127 | IL | MD | Urology Physician |
| 2008-00149 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.