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BENNIE DEAN MOBLEY O.D.
NPI 1215926233
Optometrist in Sharpsburg, GA

Active since October 21, 2005PECOS Enrolled
3999 HWY 34 EAST, SHARPSBURG, GA 30277(770) 304-2025(678) 854-9941 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 28, 2022, Jun 3, 2021 (2 updates tracked since 2021).

About Bennie Dean Mobley O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENNIE DEAN MOBLEY O.D. (NPI 1215926233) is an individual optometrist in Sharpsburg, Georgia, licensed in Georgia (OPT000912) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1215926233
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBENNIE DEAN MOBLEYCredential: O.D.
Location Address3999 HWY 34 EASTSharpsburg, GA 30277
Mailing Address3999 Hwy 34 EastSharpsburg, GA 30277 · (770) 304-2025 · Fax (678) 854-9941
Phone(770) 304-2025
Fax(678) 854-9941
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1215926233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT000912
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3999 HWY 34 EAST, Sharpsburg, GA 30277
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Secondary Practice Location 1

Location 12345 E West Connector Ste 1010Austell, GA 30106-6812 · Phone (770) 941-2323

Other Identifiers 3

Other41ZCDSBGA · Medicare Ptan
Medicaid00214629CGA
Other41ZCDPRMedicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennie Dean Mobley O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bennie Mobley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarkson Optometry Georgia Inc
46 mi
Optometrist
8400 HOLCOMB BRIDGE RD, SUITE 440
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1184802670 (636) 200-4393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bennie Mobley's NPI number?

The NPI number for Bennie Mobley is 1215926233. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Bennie Mobley located?

Bennie Mobley practices at 3999 Hwy 34 East, Sharpsburg, GA 30277. The listed phone number is (770) 304-2025.

What is Bennie Mobley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Bennie Mobley enrolled in Medicare?

Yes. Bennie Mobley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bennie Mobley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bennie Mobley reassigns Medicare benefits to Clarkson Optometry Georgia Inc (Alpharetta, GA). The 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 Bennie Mobley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bennie Mobley was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.