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MS. DESIREE MOCK NP
NPI 1417472556
Nurse Practitioner - Family in Grovetown, GA

Active since August 10, 2017
443 CAROLE DR, GROVETOWN, GA 30813(706) 541-1131 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 7, 2025, Jul 21, 2022, Aug 10, 2017 (3 updates tracked since 2017).

About Ms. Desiree Mock Np NPPES

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

MS. DESIREE MOCK NP (NPI 1417472556) is an individual family provider in Grovetown, Georgia, licensed in Georgia (APRN-NP203476) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1417472556
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DESIREE MOCKCredential: NP
Location Address443 CAROLE DRGrovetown, GA 30813-4106
Mailing AddressPo Box 647Appling, GA 30802-0647 · (706) 955-3937
Phone(706) 541-1131
Sole ProprietorNo
Enumeration DateAugust 10, 2017
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1417472556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP203476
443 CAROLE DR, Grovetown, GA 30813
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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 Desiree Mock's NPI number?

The NPI number for Desiree Mock is 1417472556. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Desiree Mock located?

Desiree Mock practices at 443 Carole Dr, Grovetown, GA 30813. The listed phone number is (706) 541-1131.

What is Desiree Mock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Desiree Mock was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.