MALLORY DUNCAN (NPI# 1942854625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942854625 |
Entity Type | Individual |
Full Name | MALLORY DUNCAN |
Practice Address |
11705 Mercy Blvd Savannah GA 31419-1711 |
Mailing Address |
5629 Hwy 21 S Rincon GA 31326-9416 |
Practice Telephone | 9128194164 |
Mailing Telephone | 9122952133 |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-07-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN254349 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5629 Hwy 21 S, Rincon, GA 313269416 | 9122952133 |
Street Address |
11705 MERCY BLVD |
City | SAVANNAH |
State | GA |
Zip Code | 31419-1711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001486 | Dennis A.k. Rice | Pharmacist | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-05-27 |
1003380304 | Claudia Ellis | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419 | 2019-01-20 |
1144795543 | Angela Darlene Gerrald | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1791 | 2018-10-11 |
1720570211 | Jessica Hendley | Nurse Anesthetist, Certified Registered | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-05-31 |
1063912053 | Abigail White | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-02-15 |
1861907446 | Anna Dilworth Warren | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-12-05 |
1740791813 | Emma Helmken | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-10-17 |
1619363561 | Evan John Van Peursem | Anesthesiology | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2015-04-07 |
1578967535 | Amy Marie Scroggin | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2014-10-20 |
1023383247 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2012-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
Find all providers in zip 31419 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
1578115333 | Chantel Evette Plummer | Nurse Practitioner | 1810 E 62nd St, Savannah, GA 31404-5602 | 2019-07-11 |
1447685383 | Sunni L. Ogden | Nurse Practitioner | 3219 College St, Savannah, GA 31404-5254 | 2013-09-11 |
1447578018 | Tennessee River Pain Management Clinic | Nurse Practitioner | 275a Eureka St, Savannah, TN 38372-3033 | 2010-05-06 |
1487880761 | William Opoku Badu Agyemang | Nurse Practitioner | 851 Southbridge Blvd, Savannah, GA 31405-1096 | 2009-06-01 |
1437286135 | Rita Marie Greenbush | Nurse Practitioner | 11700 Mercy Blvd Ste 6, Savannah, GA 31419-1753 | 2007-02-28 |
1306951983 | Crystal Michelle Height | Nurse Practitioner | 702 W 47th St, Savannah, GA 31405-1772 | 2006-08-21 |
1982256772 | Zachary Houston Jenkins | Nurse Practitioner | 329 Eisenhower Dr Ste D, Savannah, GA 31406-2695 | 2019-07-11 |
1013365550 | Margaret Fitch Mcclellan | Nurse Practitioner | 5353 Reynolds St Ste 107, Savannah, GA 31405-6089 | 2016-05-25 |
1568819670 | Janeika E. Bailey Robinson | Nurse Practitioner | 107 B Fahm St., Savannah, GA 31401-2391 | 2016-05-18 |
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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.