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CHASE WILLIAM MALLORY
NPI 1275275380
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 09, 2022PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-8634(352) 273-8604 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Chase William Mallory NPPES

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

CHASE WILLIAM MALLORY (NPI 1275275380) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275275380
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHASE WILLIAM MALLORY
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address1600 Sw Archer Road, Campus Box 100247Gainesville, FL 32610-3003 · (352) 273-8634 · Fax (352) 273-8604
Phone(352) 273-8634
Fax(352) 273-8604
Sole ProprietorNo
Enumeration DateApril 9, 2022
NPPES CertifiedApril 9, 2022
✔ NPI 1275275380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chase William Mallory 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.

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.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Chase Mallory's NPI number?

The NPI number for Chase Mallory is 1275275380. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Chase Mallory located?

Chase Mallory practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-8634.

What is Chase Mallory's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chase Mallory enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chase Mallory was last updated on April 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.