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

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: October 25, 2026.

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid497037753GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Mallory reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
275 mi
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1205963105 (435) 716-2800
University Of Utah Pediatric Services
1,567 mi
Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1386257152 (801) 587-7109
University Of Utah Pediatric Acuity Care
1,577 mi
Neuromuscular Medicine
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1558723445 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-5252
DR. JEFFREY STEVEN ROSENBLATT MD
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (678) 344-1960
AMBER MILLETTE HENDERSON M.D.
Anesthesiology
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
CEDRIC B MILLER MD
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (678) 344-1960
PEDIATRIC SEDATION SERVICES, LLC
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2273
MARJORIE ANN FANNON APRN
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2273
DR. AMY L BAXTER MD
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 805-5655
CHILDRENS ANESTHESIA SERVICES LLC
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008

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 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.

Where is Michael Mallory located?

Michael Mallory practices at 1001 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (404) 250-2972.

What is Michael Mallory's specialty?

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

Is Michael Mallory enrolled in Medicare?

Yes. Michael Mallory is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mallory reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Logan, UT), University Of Utah Pediatric Services (Sandy, UT) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). Each 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 Michael Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.