Mallory Peavy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016922 Issued in GA

Practice address

22 Hayes St
Toccoa, GA 30577-2696

Phone

(706) 886-3883

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Yates and Seib, Inc.Group PAC ID 9133038672, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Yates & Seib, Inc.

  dba dba physical therapy specialists

  • Clinic/Center
  • Toccoa, GA
  • NPI 1376534735
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1073387577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 IDLE PINES DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692338",
            "telephone_number": "478-972-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HAYES ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772696",
            "telephone_number": "706-886-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "MALLORY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paresh Patel, MD
• David Rex Patterson, DDS
• Grace Patterson, M.D.
• Robert P Pauly, MD
• Dawn Payne, MSPT
• William Joseph Pendergrast, PHARM.D.
• Personal Assistance
• Personal Assistance of Toccoa, LLC
• Persida L Petca, NP-C
• Tara Joy Peters, LMSW

• Physical Therapist in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.