MS. MALLORY DEANNE FAIRWEATHER PA-C
NPI 1770224438
Physician Assistant - Medical in Fayetteville, NC

Q: What is Mallory Fairweather's NPI number?

The NPI number for Mallory Fairweather is 1770224438. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Mallory Fairweather's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Nov 18, 2022, Apr 6, 2022 (3 updates tracked since 2022).

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About Ms. Mallory Deanne Fairweather Pa-c NPPES

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

MS. MALLORY DEANNE FAIRWEATHER PA-C (NPI 1770224438) is an individual medical provider in Fayetteville, North Carolina and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770224438

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. MALLORY DEANNE FAIRWEATHERCredential: PA-C

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address8612 Malahar LnAngier, NC 27501-5914 · (919) 906-2370

Phone(910) 615-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 6, 2022

Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1770224438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1638 OWEN DR, Fayetteville, NC 28304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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

Ms. Mallory Deanne Fairweather Pa-c 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.

PECOS PAC ID648630715

PECOS Enrollment IDI20230720002805

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

101 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

40 services18 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

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.

MR. KEVIN TRAVIS WORTH CRNA

Nurse Anesthetist, Certified Registered