1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Pediatrics
  6. NPI Profile

MALLORY ENZOR MARSHALL
NPI 1639743081
Pediatrics in Columbia, SC

Active since May 19, 2021PECOS Enrolled
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, SUITE 400, COLUMBIA, SC 29203(893) 434-6155(803) 434-6979 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2021, May 19, 2021 (2 updates tracked since 2021).

About Mallory Enzor Marshall NPPES

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

MALLORY ENZOR MARSHALL (NPI 1639743081) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (LL86290) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639743081
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMALLORY ENZOR MARSHALL
Location AddressPRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, SUITE 400Columbia, SC 29203
Mailing AddressPrisma Health Children's Hospital Outpatient Center, 14 Medical Park, Suite 400Columbia, SC 29203 · (893) 434-6155 · Fax (803) 434-6979
Phone(893) 434-6155
Fax(803) 434-6979
Sole ProprietorNo
Enumeration DateMay 19, 2021
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1639743081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · LL86290
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, Columbia, SC 29203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Enzor Marshall 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mallory Marshall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capstone Health Services Foundation PC
379 mi
Neurology
100 RICE MINE ROAD LOOP STE 301
Tuscaloosa, AL 35406
  • Reassigned Medicare billing, Alabama enrollment
  • 307 clinicians in this Medicare group
NPI 1255212353 (205) 345-3881
The Dch Healthcare Authority
379 mi
General Acute Care Hospital
809 UNIVERSITY BLVD E
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 179 clinicians in this Medicare group
NPI 1841394418 (205) 759-7111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

NOAH DANIEL CHRISTIAN
Student in an Organized Health Care Education/Training Program
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155
ALYSSA MARIAN DAVOLIO
Pediatrics
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155
KATLYN ROSE TAYLOR
Pediatrics
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, SUITE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155
KARLY ANNE DERWITZ DO
Pediatrics
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155

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 Marshall's NPI number?

The NPI number for Mallory Marshall is 1639743081. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Mallory Marshall located?

Mallory Marshall practices at Prisma Health Children's Hospital Outpatient Center 14 Medical Park, Suite 400, Columbia, SC 29203. The listed phone number is (893) 434-6155.

What is Mallory Marshall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mallory Marshall enrolled in Medicare?

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

Which organizations bill Medicare for Mallory Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Marshall reassigns Medicare benefits to 2 organizations: Capstone Health Services Foundation PC (Tuscaloosa, AL) and The Dch Healthcare Authority (Tuscaloosa, AL). Each 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 Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Marshall accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mallory Marshall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Marshall was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.