GARY MICHAEL MALLOW
NPI 1659952323
Student in an Organized Health Care Education/Training Program in Augusta, GA
About Gary Michael Mallow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY MICHAEL MALLOW (NPI 1659952323) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gary Michael Mallow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Gary Mallow's NPI number?
The NPI number for Gary Mallow is 1659952323. It was assigned to this individual provider in the NPPES registry on April 15, 2021.
Where is Gary Mallow located?
Gary Mallow practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (954) 383-7454.
What is Gary Mallow's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Gary Mallow enrolled in Medicare?
Yes. Gary Mallow is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gary Mallow was last updated on April 15, 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.
# Gary Michael Mallow · NPI 1659952323
Student in an Organized Health Care Education/Training Program provider in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1659952323 (Entity type: Individual)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0006
- **Phone:** (954) 383-7454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1659952323) · Data from the CMS NPPES public registry.