1. Home
  2. Directory
  3. Alabama
  4. Mobile
  5. Physician Assistant
  6. NPI Profile

SIEDYRIA MALLARD
NPI 1720751894
Physician Assistant in Mobile, AL

Active since July 26, 2021PECOS Enrolled
2052 POST OAK CT, MOBILE, AL 36695(256) 345-3317 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2022, Jul 26, 2021 (2 updates tracked since 2021).

About Siedyria Mallard NPPES

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

SIEDYRIA MALLARD (NPI 1720751894) is an individual physician assistant in Mobile, Alabama, licensed in Alabama (2060) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720751894
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIEDYRIA MALLARD
Location Address2052 POST OAK CTMobile, AL 36695-7300
Mailing Address2052 Post Oak CtMobile, AL 36695-7300 · (256) 345-3317
Phone(256) 345-3317
Sole ProprietorYes
Enumeration DateJuly 26, 2021
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1720751894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · 2060
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2052 POST OAK CT, Mobile, AL 36695
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siedyria Mallard 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Siedyria Mallard's NPI number?

The NPI number for Siedyria Mallard is 1720751894. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Siedyria Mallard located?

Siedyria Mallard practices at 2052 Post Oak Ct, Mobile, AL 36695. The listed phone number is (256) 345-3317.

What is Siedyria Mallard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Siedyria Mallard enrolled in Medicare?

Yes. Siedyria Mallard is registered in the Medicare PECOS enrollment system.

What insurance does Siedyria Mallard accept?

Health plans from Blue Cross and Blue Shield of Alabama list Siedyria Mallard 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 Siedyria Mallard was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.