MALLORY BROOKE HARMON MD
NPI 1306541420
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Mallory Harmon's NPI number?

The NPI number for Mallory Harmon is 1306541420. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Mallory Harmon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Harmon was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2023PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mallory Brooke Harmon Md NPPES

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

MALLORY BROOKE HARMON MD (NPI 1306541420) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306541420

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMALLORY BROOKE HARMONCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateMarch 31, 2023

NPPES CertifiedMarch 31, 2023

✔ NPI 1306541420 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.

2500 N STATE ST, Jackson, MS 39216

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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)

Mallory Brooke Harmon Md 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.

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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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)