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MALLORY SANDERS MCD, CCC-SLP
NPI 1629474895
Speech-Language Pathologist in North Charleston, SC

Active since November 14, 2014Accepts Medicare Assignment
3096 NANTUCKETT AVE, NORTH CHARLESTON, SC 29420(843) 455-6079 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mallory Sanders Mcd, Ccc-slp NPPES

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

MALLORY SANDERS MCD, CCC-SLP (NPI 1629474895) is an individual speech-language pathologist provider in North Charleston, South Carolina, licensed in South Carolina (5419) and active in the NPI registry since November 2014. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1629474895
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY SANDERSCredential: MCD, CCC-SLP
Location Address3096 NANTUCKETT AVENorth Charleston, SC 29420-8973
Mailing Address3096 Nantuckett AveNorth Charleston, SC 29420-8973 · (843) 455-6079
Phone(843) 455-6079
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 14, 2014
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1629474895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in SC · 5419
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3096 NANTUCKETT AVE, North Charleston, SC 29420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Sanders Mcd, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254852205
PECOS Enrollment IDI20250306000177

Medicare Billing Reassignment

Medicare enrollment records show Mallory Sanders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Services Of South Carolina, LLC
98 mi
Physical Therapist
800 N LAKE DR
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 455 clinicians in this Medicare group
NPI 1902133689 (877) 407-3422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sanders's NPI number?

The NPI number for Mallory Sanders is 1629474895. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Mallory Sanders located?

Mallory Sanders practices at 3096 Nantuckett Ave, North Charleston, SC 29420. The listed phone number is (843) 455-6079.

What is Mallory Sanders's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mallory Sanders enrolled in Medicare?

Yes. Mallory Sanders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mallory Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Sanders reassigns Medicare benefits to Fox Rehabilitation Services Of South Carolina, LLC (Lexington, SC). 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 Mallory Sanders'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 Mallory Sanders was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.