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MALLORY ANNE JEFFERS
NPI 1730031345
Nurse Practitioner in Charlotte, NC

Active since February 14, 2026PECOS Enrolled
136 E 36TH ST STE 200, CHARLOTTE, NC 28206(704) 801-3400 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mallory Anne Jeffers NPPES

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

MALLORY ANNE JEFFERS (NPI 1730031345) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5024818) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730031345
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY ANNE JEFFERS
Location Address136 E 36TH ST STE 200Charlotte, NC 28206-0052
Mailing Address136 E 36th St Ste 200Charlotte, NC 28206-0052
Phone(704) 801-3400
Sole ProprietorNo
Enumeration DateFebruary 14, 2026
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1730031345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5024818
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
136 E 36TH ST STE 200, Charlotte, NC 28206
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Anne Jeffers 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 28206 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

SHELBY LEE BRIDGETT DO
Family Medicine
136 E 36TH ST STE 200
CHARLOTTE, NC 28206
Mecklenburg County (704) 801-3401
MERON FESSEHAYE MD
Family Medicine
136 E 36TH ST STE 200
CHARLOTTE, NC 28206
Mecklenburg County (704) 801-3400
MRS. SAVANNAH RAE TAYLOR PA-C
Physician Assistant
136 E 36TH ST STE 200
CHARLOTTE, NC 28206
Mecklenburg County (704) 801-3400
DR. GUILHERME LOUBACK CORRAL DO
Family Medicine
136 E 36TH ST STE 200
CHARLOTTE, NC 28206
Mecklenburg County (704) 801-3400

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 Jeffers's NPI number?

The NPI number for Mallory Jeffers is 1730031345. It was assigned to this individual provider in the NPPES registry on February 14, 2026.

Where is Mallory Jeffers located?

Mallory Jeffers practices at 136 E 36th St Ste 200, Charlotte, NC 28206. The listed phone number is (704) 801-3400.

What is Mallory Jeffers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mallory Jeffers enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mallory Jeffers was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.