Individual provider Active NPI

Mallory Leigh Marcis, AUD

  • Audiologist
  • Atlanta, GA
National Provider Identifier
1043733645
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004106 Issued in GA
Practice address
2140 Peachtree Rd NW Ste 360
Atlanta, GA 30309-1316
Phone
(770) 740-1860
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004106 GA Primary

Addresses

Primary practice location

2140 Peachtree Rd NW Ste 360
Atlanta, GA 30309-1316

Mailing address

925 N Point Pkwy Ste 130
Alpharetta, GA 30005-5211
Phone (770) 740-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.28 of 100Reported as group
Quality
60.36
Promoting interoperability
0
Improvement activities
40
Cost
80.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD004106GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT of Georgia, LLC Past Accepting new patients
Hcenti, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15673/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1043733645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055211",
            "telephone_number": "770-740-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW STE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091316",
            "telephone_number": "770-740-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIS",
        "first_name": "MALLORY",
        "middle_name": "LEIGH",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.