DR. JAMES NELSON MOCK MD
NPI 1093726226
Emergency Medicine in Carbondale, IL
About Dr. James Nelson Mock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES NELSON MOCK MD (NPI 1093726226) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Tennessee (62661) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Nelson Mock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
9Medicare enrollment records show James Mock reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anderson, SC 29621
- Reassigned Medicare billing, South Carolina enrollment
- 116 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 159 clinicians in this Medicare group
Aiken, SC 29801
- Reassigned Medicare billing, South Carolina enrollment
- 187 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 158 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 152 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 160 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 32 clinicians in this Medicare group
Conway, SC 29526
- Reassigned Medicare billing, South Carolina enrollment
- 47 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolina Pines Regional Medical Center
Acute Care Hospitals · Hartsville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Mock's NPI number?
The NPI number for James Mock is 1093726226. It was assigned to this individual provider in the NPPES registry on August 11, 2006.
Where is James Mock located?
James Mock practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.
What is James Mock's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is James Mock enrolled in Medicare?
Yes. James Mock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for James Mock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Mock reassigns Medicare benefits to 9 organizations: Ich ER Services, LLC (Anderson, SC), Tanglewood Park Physicians, PLLC (Clemmons, NC), Sound Physicians Emergency Medicine Of South Carolina LLC (Aiken, SC), Kernersville Emergency Group, PLLC (Kernersville, NC), Piedmont Triad Physicians, PLLC (Thomasville, NC) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is James Mock affiliated with any hospitals?
According to CMS data, James Mock is affiliated with Carolina Pines Regional Medical Center.
When was this NPI record last updated?
The NPPES record for James Mock was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. James Nelson Mock, MD · NPI 1093726226
Emergency Medicine physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1093726226 (Entity type: Individual)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 62661 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W JACKSON ST, Carbondale, IL 62901-1462
- **Phone:** (618) 549-0721 · **Fax:** (618) 457-0469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Ich ER Services, LLC (NPI 1174002059, Anderson, SC); Tanglewood Park Physicians, PLLC (NPI 1093286379, Clemmons, NC); Sound Physicians Emergency Medicine Of South Carolina LLC (NPI 1730636168, Aiken, SC); Kernersville Emergency Group, PLLC (NPI 1750852034, Kernersville, NC); Piedmont Triad Physicians, PLLC (NPI 1295206464, Thomasville, NC); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** September 23, 2021
- **Other identifiers:** Medicaid 167330 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1093726226) · Data from the CMS NPPES public registry.