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MALLORY CRAWFORD MD
NPI 1932804432
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 03, 2023PECOS Enrolled
4301 W MARKHAM ST # 589, LITTLE ROCK, AR 72205(504) 526-8148 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Crawford Md NPPES

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

MALLORY CRAWFORD MD (NPI 1932804432) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2023).

NPPES Registry Identity

NPI1932804432
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY CRAWFORDCredential: MD
Location Address4301 W MARKHAM ST # 589Little Rock, AR 72205-7101
Mailing Address904 Dyson Creek RdPollock, LA 71467-4337 · (318) 613-2545
Phone(504) 526-8148
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2023
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1932804432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 589, Little Rock, AR 72205
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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 Crawford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961860853
PECOS Enrollment IDI20260309002947
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 20

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

CHRYSTAL TARRYN FULLEN PSYD
Clinical Neuropsychologist
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8284
CAITLIN CAPERTON
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
KELSEY SPRINKLES
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8120
MARGARET SUSAN PICKHARDT MD
Psychiatry & Neurology (Psychiatry)
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
DR. VARENYA NALLUR MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
DR. TARAHN TURNER MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
JOHN WINN
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
DR. NADIA KHAN MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148

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 Crawford's NPI number?

The NPI number for Mallory Crawford is 1932804432. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Mallory Crawford located?

Mallory Crawford practices at 4301 W Markham St # 589, Little Rock, AR 72205. The listed phone number is (504) 526-8148.

What is Mallory Crawford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mallory Crawford enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mallory Crawford was last updated on April 3, 2023. 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.