MALLORY MULLIS (NPI# 1073062782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073062782 |
| Entity Type | Individual |
| Full Name | MALLORY MULLIS |
| Credential | PA-C |
| Practice Address |
1301 Belleville Ave Brewton AL 36426-1306 |
| Practice Telephone | 2518098439 |
| Mailing Telephone | 2518098439 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.1168 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 BELLEVILLE AVE |
| City | BREWTON |
| State | AL |
| Zip Code | 36426-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858578 | Elizabeth Bataglia-hillman | Family Medicine | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2006-02-06 |
| 1235500943 | Rosewood Emergency Physicians, LLC | Emergency Medicine | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2015-10-08 |
| 1346685724 | Martha Dawn Singleton | Nurse Practitioner | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2013-04-30 |
| 1255776639 | D. W. Mcmillan Memorial Hospital | General Acute Care Hospital | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2013-04-30 |
| 1760766596 | Escambia County Health Care Authority | Ambulance | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2011-09-28 |
| 1710265418 | Escambia County Health Care Authority | Dermatology | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2011-07-28 |
| 1508169277 | D.w. Mcmillan Memorial Hospital / Escambia County Health Authority | Pharmacy | 1301 Belleville Ave, P O Drawer 908, Brewton, AL 36426-1306 | 2010-12-17 |
| 1235309576 | John A Vanlandingham, Md | Family Medicine | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2008-03-03 |
| 1013185818 | Gulf Coast Orthopedics Specialists Pa | Specialist | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2008-02-14 |
| 1952589004 | Phillip Livingston Parker | Pharmacist | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
| 1063958536 | Nicole Jones | Counselor | 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 | 2017-01-09 |
| 1225284185 | Mark Herbert Surles | Chiropractor | 217 Belleville Ave, Brewton, AL 36426 | 2008-08-12 |
| 1497972061 | Reese John Robinson | Dentist | 102 Mason St, Brewton, AL 36426 | 2007-04-18 |
| 1265543797 | James Randall Deatherage | Dentist | 422 Douglas Avenue, Brewton, AL 36426 | 2006-08-31 |
| 1053389403 | Andria P Caldwell | Dentist | 1115 Azalea Place, Brewton, AL 36426 | 2006-03-10 |
| 1013043637 | Shai Tanyette Hall | Dentist | 1503 Mcmillan Ave, Brewton, AL 36426-1132 | 2007-02-26 |
| 1700067238 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2007-11-27 |
| 1487265351 | Nicole Marie Eagle | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2020-08-13 |
| 1154763092 | Stacy Miles | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2013-07-19 |
| Find all providers in zip 36426 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396149530 | Crystle Daniela Jones | Physician Assistant | 1205 Belleville Ave, Brewton, AL 36426-1304 | 2014-10-17 |
| 1265762066 | Kendi Elise Kirby | Physician Assistant | 1121 Belleville Ave, Brewton, AL 36426-1500 | 2009-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1235749276 | Danna Self | Physician Assistant | 7848 Shriner Dr, Pinson, AL 35126-2416 | 2020-08-04 |
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1710516208 | Dnika C Joseph | Physician Assistant | 255 Three Sons Dr, Hoover, AL 35226-2952 | 2020-04-06 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.