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SOUTHERN MOBILE MEDICAL GROUP PA
NPI 1730903675
General Practice in Charlotte, NC

Active since November 07, 2024
5804 MONROE RD STE C, CHARLOTTE, NC 28212(385) 499-5535 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Southern Mobile Medical Group Pa NPPES

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

SOUTHERN MOBILE MEDICAL GROUP PA (NPI 1730903675) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since November 2024. The organization lists Zachary Mandler, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1730903675
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTHERN MOBILE MEDICAL GROUP PA
Location Address5804 MONROE RD STE CCharlotte, NC 28212-6183
Mailing AddressPo Box 3044Houston, TX 77253-3044 · (385) 499-5535
Phone(385) 499-5535
Organization SubpartNo
Authorized OfficialZachary MandlerDirector Of Contracting · (305) 890-7738
Enumeration DateNovember 7, 2024
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1730903675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5804 MONROE RD STE C, Charlotte, NC 28212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEBORI LEIGH GORHAM LCSWA
Social Worker (Clinical)
5804 MONROE RD STE C
CHARLOTTE, NC 28212
Mecklenburg County (704) 533-5810

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 Southern Mobile Medical Group PA's NPI number?

The NPI number for Southern Mobile Medical Group PA is 1730903675. It was assigned to this organization in the NPPES registry on November 7, 2024.

Where is Southern Mobile Medical Group PA located?

Southern Mobile Medical Group PA is located at 5804 Monroe Rd Ste C, Charlotte, NC 28212. The listed phone number is (385) 499-5535.

What is Southern Mobile Medical Group PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Southern Mobile Medical Group PA was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.