Mallory S Parker

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC007183 Issued in GA

Practice address

848 Hiram Acworth Hwy BLDG 100
Hiram, GA 30141-2286

Phone

(678) 818-5877

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1013504893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SUSIE CREEK LN",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805214",
            "telephone_number": "770-365-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 HIRAM ACWORTH HWY BLDG 100",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412286",
            "telephone_number": "678-818-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MALLORY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC007183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Own the Moment Counseling Services LLC
• Judy Ozeryansky, P.T.
• Joseph Pafumy II, M.D.
• Pak Medical, Inc.
• Erin Pannullo, PTA
• Rasik Parmar, M.D.
• Virlira J Pass, RN
• Anuj Patel, MD
• Bhumiben Patel
• Dhruv B Patel, DMD

• Counselor in Hiram, GA
• Providers in Hiram, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.