MRS. MALLORY SMITH NP
NPI 1003533357
Nurse Practitioner - Primary Care in Shaw Afb, SC
About Mrs. Mallory Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MALLORY SMITH NP (NPI 1003533357) is an individual primary care provider in Shaw Afb, South Carolina, licensed in South Carolina (26148) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mallory Smith Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- 45 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29152 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.
SHAW AFB, SC 29152
SHAW AFB, SC 29152
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 Mallory Smith's NPI number?
The NPI number for Mallory Smith is 1003533357. It was assigned to this individual provider in the NPPES registry on October 26, 2022.
Where is Mallory Smith located?
Mallory Smith practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (803) 895-2273.
What is Mallory Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Mallory Smith enrolled in Medicare?
Yes. Mallory Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Smith reassigns Medicare benefits to Tandem Health Sc (Sumter, SC). 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 Mallory Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Smith accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Mallory Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mallory Smith was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Mallory Smith, NP · NPI 1003533357
Primary Care physician in Shaw Afb, South Carolina. Individual provider, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1003533357 (Entity type: Individual)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26148 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 POLIFKA DR, Shaw Afb, SC 29152-5100
- **Phone:** (803) 895-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tandem Health Sc (NPI 1740641919, Sumter, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1003533357) · Data from the CMS NPPES public registry.