DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
NPI 1013034636
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, MS
About Dr. Arenia C. Mallory Community Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. (NPI 1013034636) is a healthcare organization registered as a federally qualified health center (fqhc) in Canton, Mississippi and active in the NPI registry since March 2007. The organization lists Clyde Rozell Chapman, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Arenia C. Mallory Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Dr. Arenia C. Mallory Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Lexington, MS 39095
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Community Health's NPI number?
The NPI number for Mallory Community Health is 1013034636. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Dr. Arenia C. Mallory Community Health Center, Inc..
Where is Mallory Community Health located?
Mallory Community Health is located at 276 Nissan Parkway, Building C Suite 100, Canton, MS 39046. The listed phone number is (601) 855-5275.
What is Mallory Community Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Mallory Community Health enrolled in Medicare?
Yes. Mallory Community Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mallory Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Mallory Community Health. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (3) and Clinical Social Worker (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mallory Community Health accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Mallory Community Health 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 Community Health was last updated on August 29, 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.
# Dr. Arenia C. Mallory Community Health Center, Inc. · NPI 1013034636
Federally Qualified Health Center (FQHC) organization in Canton, Mississippi. Organization record, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1013034636 (Entity type: Organization)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Mallory Community Health
- **Organization subpart:** No
- **Authorized official:** Clyde Chapman, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 276 NISSAN PARKWAY, BUILDING C, SUITE 100, Canton, MS 39046
- **Phone:** (601) 855-5275 · **Fax:** (601) 859-3253
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (3), Clinical Social Worker (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2024
- **Other identifiers:** Medicaid 09015635 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1013034636) · Data from the CMS NPPES public registry.