MALLORY NEFF (NPI# 1902152671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902152671 |
| Entity Type | Individual |
| Full Name | MALLORY NEFF |
| Credential | PA |
| Practice Address |
5717 Albemarle Rd Charlotte NC 28212-1634 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7045632150 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07553 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2652 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 | |
| 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 297158906 | 7046673380 | |
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 |
| Street Address |
5717 ALBEMARLE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479661 | Brenda Clark | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2005-10-05 |
| 1649757360 | Kelly Murphy | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2018-07-25 |
| 1437500329 | Carlos Bolden | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2016-06-22 |
| 1750736179 | Brendan Klitsch | Physician Assistant | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2016-05-04 |
| 1649639493 | Theresa Coltey | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2016-02-22 |
| 1841658606 | Paul Kashmanian | Physician Assistant | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2016-02-08 |
| 1619389046 | Shakima Nixon | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2014-05-20 |
| 1114358652 | Chad Snow | Physician Assistant | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2013-12-10 |
| 1073851770 | Ryan Anyanwu | Physician Assistant | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2013-01-30 |
| 1841566163 | Elizaphan Mwangi | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| 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 |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.