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MALLORY GALEMORE DO
NPI 1548050529
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since May 12, 2025PECOS Enrolled
1469 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-4467 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Galemore Do NPPES

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

MALLORY GALEMORE DO (NPI 1548050529) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (17405) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548050529
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY GALEMORECredential: DO
Location Address1469 LANEY WALKER BLVDAugusta, GA 30912-0002
Mailing Address1469 Laney Walker BlvdAugusta, GA 30912-0002
Phone(706) 721-4467
Sole ProprietorNo
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1548050529 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
License✔ Licensed in GA · 17405
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.
1469 LANEY WALKER BLVD, Augusta, GA 30912
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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 Galemore Do 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.

ANSLEY WILSON SMITH DO
Pediatrics
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
LESLEE MELISSA BAKER MD
Pediatrics
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
AARON T TEKLESENBET
Student in an Organized Health Care Education/Training Program
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
WILLIAM HARRIS MALOY MD
Student in an Organized Health Care Education/Training Program
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
TYLER ALUISIO
Surgery
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (762) 375-4651
RENITA ANILKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DR. BLAKE NICHOLAS JONES MD
Emergency Medicine
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
GEORGE TOMY NARATADAM
Family Medicine
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005

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 Galemore's NPI number?

The NPI number for Mallory Galemore is 1548050529. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Mallory Galemore located?

Mallory Galemore practices at 1469 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-4467.

What is Mallory Galemore's specialty?

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

Is Mallory Galemore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mallory Galemore was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.