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MALLORY K BELLISSIMO PA-C
NPI 1255640074
Physician Assistant in Atlanta, GA

Active since September 28, 2010PECOS Enrolled
3617 ROSWELL RD NE, ATLANTA, GA 30305(404) 996-0196(404) 467-2489 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory K Bellissimo Pa-c NPPES

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

MALLORY K BELLISSIMO PA-C (NPI 1255640074) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10513) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255640074
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY K BELLISSIMOCredential: PA-C
Location Address3617 ROSWELL RD NEAtlanta, GA 30305-1111
Mailing Address961 Adair Ave NeAtlanta, GA 30306-3809 · (717) 497-6851
Phone(404) 996-0196
Fax(404) 467-2489
Sole ProprietorNo
Enumeration DateSeptember 28, 2010
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1255640074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 10513✔ Licensed in WA · PA60385985
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3617 ROSWELL RD NE, Atlanta, GA 30305
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Other Names 1

Former Name (1)Mallory K Meehan Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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)

Mallory K Bellissimo Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30305 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bellissimo's NPI number?

The NPI number for Mallory Bellissimo is 1255640074. It was assigned to this individual provider in the NPPES registry on September 28, 2010. The provider is also known as Mallory K Meehan Pa-C.

Where is Mallory Bellissimo located?

Mallory Bellissimo practices at 3617 Roswell Rd NE, Atlanta, GA 30305. The listed phone number is (404) 996-0196.

What is Mallory Bellissimo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mallory Bellissimo enrolled in Medicare?

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

What insurance does Mallory Bellissimo accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Mallory Bellissimo 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 Bellissimo was last updated on November 7, 2023. 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.