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MALLORY MORGAN MCKISSICK SLP
NPI 1245818541
Speech-Language Pathologist in Charleston, SC

Active since March 30, 2021Accepts Medicare Assignment
2230 ASHLEY CROSSING DR, CHARLESTON, SC 29414(843) 766-5228 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Morgan Mckissick Slp NPPES

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

MALLORY MORGAN MCKISSICK SLP (NPI 1245818541) is an individual speech-language pathologist provider in Charleston, South Carolina and active in the NPI registry since March 2021. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1245818541
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY MORGAN MCKISSICKCredential: SLP
Location Address2230 ASHLEY CROSSING DRCharleston, SC 29414-5700
Mailing Address2230 Ashley Crossing DrCharleston, SC 29414-5700 · (843) 766-5228
Phone(843) 766-5228
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1245818541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2230 ASHLEY CROSSING DR, Charleston, SC 29414
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Morgan Mckissick Slp 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 ID1052750239
PECOS Enrollment IDI20240422000068

Medicare Billing Reassignments

3

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

Pruitthealth Therapy Services, Inc.
251 mi
Rehabilitation
1626 JEURGENS CT
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 28 clinicians in this Medicare group
NPI 1013152933 (770) 279-6200
Functional Pathways Preferred Of Tennessee LLC
317 mi
Physical Therapist
10133 SHERRILL BLVD, SUITE 200
Knoxville, TN 37932
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group
NPI 1841561446 (888) 531-2204
Select Rehabilitation, LLC
769 mi
Rehabilitation
2600 COMPASS RD
Glenview, IL 60026
  • Reassigned Medicare billing, Georgia enrollment
  • 20 clinicians in this Medicare group
NPI 1346368248 (847) 441-5593

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.

MIRA KRAFT OTR/L
Occupational Therapist
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
VALERIE WALKER
Physical Therapy Assistant
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
CAROLYN MURPHY
Physical Therapy Assistant
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
JO HANNAH MADDOX DPT
Physical Therapist
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
CAMRYN BRIELLE WILLIAMS
Physical Therapy Assistant
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
DR. MEREDITH MCCUTCHEON CAMP DPT
Physical Therapist
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
TRACY ANN TOWNE
Speech-Language Pathologist
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228
MRS. MEGAN KIZER HOLLY COTA/L
Occupational Therapy Assistant
2230 ASHLEY CROSSING DR
CHARLESTON, SC 29414
Charleston County (843) 766-5228

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 Mckissick's NPI number?

The NPI number for Mallory Mckissick is 1245818541. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Mallory Mckissick located?

Mallory Mckissick practices at 2230 Ashley Crossing Dr, Charleston, SC 29414. The listed phone number is (843) 766-5228.

What is Mallory Mckissick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mallory Mckissick enrolled in Medicare?

Yes. Mallory Mckissick 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.

Which organizations bill Medicare for Mallory Mckissick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mckissick reassigns Medicare benefits to 3 organizations: Pruitthealth Therapy Services, Inc. (Norcross, GA), Functional Pathways Preferred Of Tennessee LLC (Knoxville, TN) and Select Rehabilitation, LLC (Glenview, IL). 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 Mallory Mckissick'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 Mallory Mckissick was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.