MALLORY PROZZI
NPI 1942064555
Physician Assistant - Medical in Florence, SC

Active since February 13, 2024PECOS EnrolledAccepts Medicare Assignment
1702 FREEDOM BLVD, FLORENCE, SC 29505(843) 407-2030 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Prozzi NPPES

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

MALLORY PROZZI (NPI 1942064555) is an individual medical provider in Florence, South Carolina and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2025).

NPPES Registry Identity

NPI1942064555
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY PROZZI
Location Address1702 FREEDOM BLVDFlorence, SC 29505
Mailing AddressPo Box 98Scranton, SC 29591-0098
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2025
Enumeration DateFebruary 13, 2024
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1942064555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1702 FREEDOM BLVD, Florence, SC 29505

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

Mallory Prozzi 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 ID3577042407
PECOS Enrollment IDI20260210002845
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 3

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

Physician Assistant
1702 FREEDOM BLVD
FLORENCE, SC 29505
Physician Assistant
1702 FREEDOM BLVD
FLORENCE, SC 29505
Physician Assistant
1702 FREEDOM BLVD
FLORENCE, SC 29505

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 Prozzi's NPI number?

The NPI number for Mallory Prozzi is 1942064555. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Mallory Prozzi located?

Mallory Prozzi practices at 1702 Freedom Blvd, Florence, SC 29505. The listed phone number is (843) 407-2030.

What is Mallory Prozzi's specialty?

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

Is Mallory Prozzi enrolled in Medicare?

Yes. Mallory Prozzi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mallory Prozzi was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.