1. Home
  2. Directory
  3. Florida
  4. Lake Worth
  5. Physician Assistant
  6. NPI Profile

MALLORY ANNE LOGSDON PA-C
NPI 1306183090
Physician Assistant in Lake Worth, FL

Active since January 15, 2013PECOS Enrolled
5507 S CONGRESS AVE, SUITE 140, LAKE WORTH, FL 33462(561) 965-6685 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Anne Logsdon Pa-c NPPES

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

MALLORY ANNE LOGSDON PA-C (NPI 1306183090) is an individual physician assistant in Lake Worth, Florida, licensed in Florida (PA9106949) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306183090
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY ANNE LOGSDONCredential: PA-C
Location Address5507 S CONGRESS AVE, SUITE 140Lake Worth, FL 33462-1139
Mailing Address5507 S Congress Ave, Suite 140Lake Worth, FL 33462-1139 · (561) 965-6685
Phone(561) 965-6685
Sole ProprietorYes
Enumeration DateJanuary 15, 2013
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1306183090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106949
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.
5507 S CONGRESS AVE, Lake Worth, FL 33462
Open in Google Maps ↗

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 Anne Logsdon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARUNDEEP SINGH
Surgery (Vascular Surgery)
5507 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (201) 783-3191
DR. MICHAEL L WEINBERGER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5507 S CONGRESS AVE, SUITE 120
ATLANTIS, FL 33462
Palm Beach County (561) 433-2300
MICHAEL L WEINBERGER, MD PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5507 S CONGRESS AVE, STE 120
ATLANTIS, FL 33462
Palm Beach County (561) 433-2300
FLORIDA ALLERGY AND ASTHMA ASSOCIATES, PA
Allergy & Immunology
5507 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 965-6685
DEAN LIEBERMAN PA-C
Physician Assistant
5507 S CONGRESS AVE, SUITE 150
ATLANTIS, FL 33462
Palm Beach County (561) 433-4444
PALM BEACH NEUROSURGERY LLC
Neurological Surgery
5507 S CONGRESS AVE, SUITE 150
ATLANTIS, FL 33462
Palm Beach County (561) 433-4444
DR. STEVEN J LOUIE MD
Allergy & Immunology
5507 S CONGRESS AVE, SUITE 140
ATLANTIS, FL 33462
Palm Beach County (561) 965-6685

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 Logsdon's NPI number?

The NPI number for Mallory Logsdon is 1306183090. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Mallory Logsdon located?

Mallory Logsdon practices at 5507 S Congress Ave Suite 140, Lake Worth, FL 33462. The listed phone number is (561) 965-6685.

What is Mallory Logsdon's specialty?

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

Is Mallory Logsdon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mallory Logsdon was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.