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DR. MALLORY LEBLANC PFAFFLY MD
NPI 1881446052
General Practice in Micanopy, FL

Active since April 02, 2024PECOS Enrolled
504 NE CHOLOKKA BLVD, MICANOPY, FL 32667(352) 619-9526(352) 265-9584 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Apr 2, 2024 (2 updates tracked since 2024).

About Dr. Mallory Leblanc Pfaffly Md NPPES

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

DR. MALLORY LEBLANC PFAFFLY MD (NPI 1881446052) is an individual general practice provider in Micanopy, Florida, licensed in Florida (ME177427) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881446052
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MALLORY LEBLANC PFAFFLYCredential: MD
Location Address504 NE CHOLOKKA BLVDMicanopy, FL 32667-4109
Mailing Address504 Ne Cholokka BlvdMicanopy, FL 32667-4109 · (352) 619-9526
Phone(352) 619-9526
Fax(352) 265-9584
Sole ProprietorNo
Enumeration DateApril 2, 2024
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1881446052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME177427
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
504 NE CHOLOKKA BLVD, Micanopy, FL 32667
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Other Names 1

Former Name (1)Dr. Mallory Anne Leblanc Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mallory Leblanc Pfaffly Md 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA GOOD HEALTH PLLC
Family Medicine
504 NE CHOLOKKA BLVD
MICANOPY, FL 32667
Alachua County (352) 466-4600

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 Pfaffly's NPI number?

The NPI number for Mallory Pfaffly is 1881446052. It was assigned to this individual provider in the NPPES registry on April 2, 2024. The provider is also known as Dr. Mallory Anne Leblanc MD.

Where is Mallory Pfaffly located?

Mallory Pfaffly practices at 504 NE Cholokka Blvd, Micanopy, FL 32667. The listed phone number is (352) 619-9526.

What is Mallory Pfaffly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mallory Pfaffly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mallory Pfaffly was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.