Active NPI
Mallory Leigh Marcis, AUD
- Audiologist
- Atlanta, GA
National Provider Identifier
1043733645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD004106
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 57.28 of 100
- Quality
- 60.36
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 80.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD004106 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT of Georgia, LLC | Past | Accepting new patients | |
| Hcenti, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Audiologist-Hearing Aid Fitter
- Alpharetta, GA
- NPI 1356836878
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.