Edna Elaine Mallory, NP-C is a medicare enrolled "Nurse Practitioner - Family" in The Rock, Georgia. Her current practice location is
100 Duplainville Rd, The Rock, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 648-5915.
Edna Elaine Mallory is licensed to practice in Georgia (license number RN185828) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255682381.
Provider's Profile
| Full Name | Edna Elaine Mallory |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 100 Duplainville Rd, The Rock, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edna Elaine Mallory attended and graduated from in
NPI Data:
- NPI Number: 1255682381
- Provider Enumeration Date: 09/28/2012
- Last Update Date: 03/31/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edna Elaine Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255682381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN185828 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edna Elaine Mallory is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edna Elaine Mallory, NP-C
35 Ely Callaway Road,
West Point, GA 31833
Ph: (706) 885-1401 | Edna Elaine Mallory, NP-C
100 Duplainville Rd,
The Rock, GA 30285-2492
Ph: (706) 648-5915 |
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