Active NPI
Mallory C. Jorif, M.D.
- Family Medicine Physician
- Elkton, KY
National Provider Identifier
1144616491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TP395
- Practice address
- 810 S Main St
Elkton, KY 42220-8812 - Phone
- (270) 265-5600
- Fax
- (270) 265-5605
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP395 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 58151 | TN |
Addresses
Primary practice location
810 S Main St
Elkton, KY 42220-8812
Mailing address
440 Bryan Rd
Clarksville, TN 37043-4201
Other practice location 1
440 Bryan Rd
Clarksville, TN 37043-4201
Phone (931) 123-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828001465 | KY | Practitioner - Family Practice | 7315290210 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 S Main St
Elkton, KY 42220-8812
Phone (270) 265-5600
PO Box
Elkton, KY 42220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58151 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Health Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
810 S Main St
Elkton, KY 42220
Phone (270) 265-5600
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.
-
- Primary Care Clinic/Center
- Elkton, KY
- NPI 1538451505
Family Medicine
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1144616491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 BRYAN RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S MAIN ST",
"city": "ELKTON",
"state": "KY",
"postal_code": "422208812",
"telephone_number": "270-265-5600",
"fax_number": "270-265-5605"
}
],
"practiceLocations": [
{
"address_1": "440 Bryan Rd",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370434201",
"country_code": "US",
"telephone_number": "931-123-4567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORIF",
"first_name": "MALLORY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2024-08-29",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP395",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "58151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.