EDNA ELAINE MALLORY NP-C
NPI 1255682381
Nurse Practitioner - Family in Lagrange, GA
About Edna Elaine Mallory Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDNA ELAINE MALLORY NP-C (NPI 1255682381) is an individual family provider in Lagrange, Georgia, licensed in Georgia (RN185828) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edna Elaine Mallory Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edna Mallory's NPI number?
The NPI number for Edna Mallory is 1255682381. It was assigned to this individual provider in the NPPES registry on September 28, 2012. The provider is also known as E Elaine Mallory Np-C.
Where is Edna Mallory located?
Edna Mallory practices at 2169 W Point Rd, Lagrange, GA 30240. The listed phone number is (706) 902-9516.
What is Edna Mallory's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Edna Mallory enrolled in Medicare?
Yes. Edna Mallory is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edna Mallory was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Edna Elaine Mallory, NP-C · NPI 1255682381
Family physician in Lagrange, Georgia. Individual provider, active in the CMS NPPES registry since September 28, 2012.
## Identity
- **NPI:** 1255682381 (Entity type: Individual)
- **Enumerated:** September 28, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN185828 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2169 W POINT RD, Lagrange, GA 30240-4002
- **Phone:** (706) 902-9516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255682381) · Data from the CMS NPPES public registry.