Southern Mobile Medical Group PA
NPI 1730903675 · General Practice Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Mobile Medical Group PA is a General Practice Physician organization in Charlotte, NC (NPI 1730903675).
Provider details
- NPI number
- 1730903675
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Zachary Mandler, Director of Contracting(305) 890-7738
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is Southern Mobile Medical Group PA's NPI number?
- Southern Mobile Medical Group PA's National Provider Identifier (NPI) is 1730903675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Mobile Medical Group PA?
- Southern Mobile Medical Group PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Mobile Medical Group PA located?
- Southern Mobile Medical Group PA's practice location on file with NPPES is 5804 Monroe Rd Ste C, Charlotte, NC 28212-6183.
- What is Southern Mobile Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Southern Mobile Medical Group PA is (385) 499-5535.
- Does Southern Mobile Medical Group PA accept Medicare?
- Southern Mobile Medical Group PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Mobile Medical Group PA?
- The authorized official listed on Southern Mobile Medical Group PA's NPPES record is Zachary Mandler, Director of Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Mobile Medical Group PA's NPI active?
- Yes — Southern Mobile Medical Group PA's NPI (1730903675) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.