MRS. MALLORY SMITH NP
NPI 1003533357
Nurse Practitioner - Primary Care in Shaw Afb, SC

Active since October 26, 2022PECOS EnrolledAccepts Medicare Assignment
420 POLIFKA DR, SHAW AFB, SC 29152(803) 895-2273 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Oct 26, 2022 (2 updates tracked since 2022).

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, is affiliated with Prisma Health Tuomey Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003533357
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. MALLORY SMITHCredential: NP
Location Address420 POLIFKA DRShaw Afb, SC 29152-5100
Mailing Address420 Polifka DrShaw Afb, SC 29152-5100 · (803) 895-6356
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 26, 2022
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1003533357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in SC · 26148
420 POLIFKA DR, Shaw Afb, SC 29152

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mallory Smith Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436521390
PECOS Enrollment IDI20230202002696
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.

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
17 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Physician Assistant (Medical)
420 POLIFKA DR
SHAW AFB, SC 29152
Physical Therapist
420 POLIFKA DR
SHAW AFB, SC 29152
Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Social Worker (Clinical)
420 POLIFKA DR
SHAW AFB, SC 29152
Social Worker
420 POLIFKA DR
SHAW AFB, SC 29152
Physician Assistant
420 POLIFKA DR
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallory Smith accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South 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.

Is Mallory Smith affiliated with any hospitals?

According to CMS data, Mallory Smith is affiliated with Prisma Health Tuomey Hospital.

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 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.