MALLORY BROOKE MOODY PA
NPI 1710612718
Physician Assistant in Millington, TN
About Mallory Brooke Moody Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY BROOKE MOODY PA (NPI 1710612718) is an individual physician assistant in Millington, Tennessee and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallory Brooke Moody Pa 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILLINGTON, TN 38053
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 Moody's NPI number?
The NPI number for Mallory Moody is 1710612718. It was assigned to this individual provider in the NPPES registry on July 22, 2022.
Where is Mallory Moody located?
Mallory Moody practices at 4772 Navy Rd Ste A, Millington, TN 38053. The listed phone number is (901) 873-0930.
What is Mallory Moody's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mallory Moody enrolled in Medicare?
Yes. Mallory Moody 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.
What insurance does Mallory Moody accept?
Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Mallory Moody 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 Moody was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mallory Brooke Moody, PA · NPI 1710612718
Physician Assistant physician in Millington, Tennessee. Individual provider, active in the CMS NPPES registry since July 22, 2022.
## Identity
- **NPI:** 1710612718 (Entity type: Individual)
- **Enumerated:** July 22, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4772 NAVY RD STE A, Millington, TN 38053-1957
- **Phone:** (901) 873-0930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710612718) · Data from the CMS NPPES public registry.