Active NPI
John C Mobley, M.D.
- Surgery Physician
- Greenville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35068284
- Practice address
- 404 Wagner Ave
Greenville, OH 45331-2537 - Phone
- (937) 548-8711
- Fax
- (937) 548-6724
- NPI assigned
- Oct 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35068284 | OH | Primary |
Addresses
Primary practice location
404 Wagner Ave
Greenville, OH 45331-2537
Mailing address
154 Bogle Office Park Dr Ste a
Somerset, KY 42503-2810
Phone (606) 676-0455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137186 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111230000127 | KY | Practitioner - General Surgery | 6305742545 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35068284 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell County Hospital, Inc. | Current | Accepting new patients | |
| Caldwell County Hospital, Inc | Current | Accepting new patients | |
| Caldwell County Hospital, Inc | Surgery | Current | Accepting new patients |
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Greenville Surgical Associates | Surgery | Past | Accepting new patients |
Locations
100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300
320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320
30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644
154 Bogle Office Park Dr
#A
Somerset, KY 42503
Phone (606) 425-4695
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIDFCD
- john.mobley@caldmedassoc.eclinicaldirectplus.com
Organizations & group practices 11
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.
-
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
KY
-
- Occupational Medicine Physician
- Princeton, KY
- NPI 1780688333
-
- Rural Health Clinic/Center
- Eddyville, KY
- NPI 1780464826
-
- Rural Health Clinic/Center
- Fredonia, KY
- NPI 1265076947
-
- Medicare Defined Swing Bed Hospital Unit
- Princeton, KY
- NPI 1851486708
-
- Rural Health Clinic/Center
- Princeton, KY
- NPI 1992268247
-
- Rural Health Clinic/Center
- Princeton, KY
- NPI 1992286207
-
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
-
- Endocrinology, Diabetes & Metabolism Physician
- Somerset, KY
- NPI 1538594668
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Louisville School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caldwell County Hospital, Inc
Practice addresses (Care Compare)
100 Medical Ctr Dr
Princeton, KY 42445-2430
Phone (270) 365-0308
Hospital & facility affiliations
- Caldwell Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 34 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
| Melanoma (skin cancer) excision | 12 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1619059334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 BOGLE OFFICE PARK DR STE A",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032810",
"telephone_number": "606-676-0455",
"fax_number": "606-425-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 WAGNER AVE",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312537",
"telephone_number": "937-548-8711",
"fax_number": "937-548-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "JOHN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35068284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0137186",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.