Individual provider Active NPI

Mallory Quincey

  • Family Nurse Practitioner
  • Centre, AL
National Provider Identifier
1407374739
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140118 Issued in AL
Practice address
1925 W Main St Ste 102
Centre, AL 35960-2812
Phone
(256) 677-4552
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140118 AL Primary

Addresses

Primary practice location

1925 W Main St Ste 102
Centre, AL 35960-2812

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (256) 677-4552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020002378 AL Practitioner - Nurse Practitioner 2466728399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

645 McQueen Smith Rd N
Suite 108
Prattville, AL 36066-7269
Phone (334) 280-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-140118ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Sep 1, 2017 Accepting new patients
Rural Urgent Care LLC CurrentSince Sep 1, 2017 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Nov 4, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Nov 4, 2024 Accepting new patients
Troy Hospital Health Care Authority CurrentSince Dec 28, 2024 Accepting new patients
Troy Regional Physicians Inc Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
Ste 102
Centre, AL 35960
Phone (256) 677-4552

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

645 McQueen Smith Rd N
Ste 108
Prattville, AL 36066
Phone (334) 262-9191

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

1350 Highway 231 S
#B
Troy, AL 36081
Phone (334) 566-1270

1350 Highway 231 S
Troy, AL 36081
Phone (334) 566-1270

199 Highway 231 N
Troy, AL 36081
Phone (334) 246-4774

Interoperability endpoints

  • Direct secure messaging: mallory.quincey.1@11015.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1407374739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "256-677-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W MAIN ST STE 102",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602812",
            "telephone_number": "256-677-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINCEY",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.