Active NPI
Mallory Paige Whitlock, PAC
- Physician Assistant
- Lexington, KY
National Provider Identifier
1205526464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3330
- Practice address
- 2195 Harrodsburg Rd
Lexington, KY 40504-3516 - Phone
- (859) 218-3064
- NPI assigned
- May 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3330 | KY | |
| Surgical Physician Assistant | 363AS0400X | PA3330 | KY | |
| Physician Assistant | 363A00000X | PA3330 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd
Lexington, KY 40504-3516
Mailing address
200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461
Other practice location 1
200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461
Other practice location 2
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2180
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
225 Medical Ctr Dr
Paducah, KY 42003
Hospital & facility affiliations
- Mercy Health - Lourdes Hospital
- Massac Memorial Hospital
- Baptist Health Paducah
- Jackson Purchase Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.45 of 100
- Quality
- 50.17
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3330 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Physician Assistant | Current | Accepting new patients |
| Mercy Health Physicians Kentucky LLC | Physician Assistant | Past | Accepting new patients |
Locations
225 Medical Center Dr
Ste 101
Paducah, KY 42003
Phone (270) 441-4357
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
200 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461
Organizations & group practices 3
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.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
Physician Assistant
-
- Orthopaedic Surgery Physician
- Paducah, KY
- NPI 1497425177
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
Physician Assistant
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
-
- Critical Access Hospital
- Metropolis, IL
- NPI 1790788578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1205526464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLINT HILL BLVD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016768",
"telephone_number": "270-442-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043516",
"telephone_number": "859-218-3064"
}
],
"practiceLocations": [
{
"address_1": "200 Clint Hill Blvd",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420016768",
"country_code": "US",
"telephone_number": "270-442-9461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Kentucky Ave",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420033813",
"country_code": "US",
"telephone_number": "270-575-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITLOCK",
"first_name": "MALLORY",
"middle_name": "PAIGE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA3330",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA3330",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.