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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edna Elaine Mallory Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edna Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lafayette, AL 36862
- Reassigned Medicare billing, Alabama enrollment
- 124 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Edna Mallory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edna Mallory reassigns Medicare benefits to Quality Of Life Health Services, Inc (Lafayette, AL). The 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 Edna 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 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 12 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
- **Bills Medicare through:** Quality Of Life Health Services, Inc (NPI 1780123372, Lafayette, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.