Individual provider Active NPI

Raymond A Mock, ACNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1740308121
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-083338 Issued in AL
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

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07506279MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, ND, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180904001093 AL Practitioner - Nurse Practitioner 8224102090 Reassigns benefits to 3 organizations
I20260219001730 ND Practitioner - Nurse Practitioner 8224102090 Reassigns benefits to 1 organization
I20260608004094 GA Practitioner - Nurse Practitioner 8224102090 Reassigns benefits to 1 organization

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
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

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 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
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

LicenseStateTypeSpecialty
203699NDMDNurse Practitioner
1-083338ALMDAcute Care Nurse Practitioner
R865463MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jul 18, 2018 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 CurrentSince Jul 18, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince Apr 20, 2019 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 5, 2026 Accepting new patients
Baptist Health Centers, LLC CurrentSince Apr 20, 2019 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 5, 2026 Accepting new patients
Wiregrass Clinic LLC CurrentSince Dec 1, 2022 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.