Active NPI
Raymond A Mock, ACNP
- Acute Care Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-083338
- Practice address
- 833 Princeton Ave SW Ste 200a
Birmingham, AL 35211 - Phone
- (205) 786-2776
- Fax
- (205) 786-6227
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 203699 | ND | |
| Acute Care Nurse Practitioner | 363LA2100X | 1-083338 | AL | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | R865463 | MS |
Addresses
Primary practice location
833 Princeton Ave SW Ste 200a
Birmingham, AL 35211
Mailing address
1130 22ND St S Ste 1000
Birmingham, AL 35205-2881
Phone (469) 893-2065
Other practice location 1
833 Princeton Ave SW Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776
Other practice location 2
833 Princeton Ave SW Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07506279 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, ND, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-7004
1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
2018 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6870
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-7970
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 80.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203699 | ND | MD | Nurse Practitioner |
| 1-083338 | AL | MD | Acute Care Nurse Practitioner |
| R865463 | MS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Wiregrass Clinic LLC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Delta Medical Group | Nurse Practitioner | Past | Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
833 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 783-3098
833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776
833 Princeton Ave SW
Ste 200F
Birmingham, AL 35211
Phone (205) 776-8600
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Interoperability endpoints
- rmock65724@baptisthealthaldirect.org
Organizations & group practices 13
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.
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
-
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Rural Health Clinic/Center
- Lamoure, ND
- NPI 1164439196
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1740308121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 22ND ST S STE 1000",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052881",
"telephone_number": "469-893-2065",
"fax_number": "469-893-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 PRINCETON AVE SW STE 200A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-786-2776",
"fax_number": "205-786-6227"
}
],
"practiceLocations": [
{
"address_1": "833 Princeton Ave SW Ste 200A",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "35211",
"country_code": "US",
"telephone_number": "205-786-2776",
"fax_number": "205-786-6227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 Princeton Ave SW Ste 200A",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "35211",
"country_code": "US",
"telephone_number": "205-786-2776",
"fax_number": "205-786-6227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOCK",
"first_name": "RAYMOND",
"middle_name": "A",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "203699",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-083338",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "R865463",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07506279",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.