MICHAEL MALLORY MD, MPH
NPI 1003870288
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Q: What is Michael Mallory's NPI number?

The NPI number for Michael Mallory is 1003870288. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Michael Mallory's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mallory was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 14, 2006PECOS Enrolled

1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342(404) 250-2972 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael Mallory Md, Mph NPPES

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

MICHAEL MALLORY MD, MPH (NPI 1003870288) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Georgia (046445) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003870288

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameMICHAEL MALLORYCredential: MD, MPH

Location Address1001 JOHNSON FERRY RD NEAtlanta, GA 30342-1605

Mailing Address2133 Kodiak Dr NeAtlanta, GA 30345-4149

Phone(404) 250-2972

Sole ProprietorNo

Enumeration DateApril 14, 2006

Last NPPES UpdateJanuary 30, 2024

NPPES CertifiedJanuary 30, 2024

✔ NPI 1003870288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

Licenses✔ Licensed in GA · 046445✔ Licensed in UT · 4928357-1205

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

1001 JOHNSON FERRY RD NE, Atlanta, GA 30342

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Other Identifiers 1

Medicaid497037753GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Mallory Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BRITTANY KATHRYN SUCHANEK CPNP

Nurse Practitioner (Pediatrics)