Organization Active NPI

Mallory L Cary

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Scottdale, GA
National Provider Identifier
1497467294
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
MALLORY L CARY
Practice address
610 Kentucky St
Scottdale, GA 30079-1124
Phone
(770) 276-9983
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Mallory Cary, LCSW
Title
Owner
Phone
(678) 472-3131

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

610 Kentucky St
Scottdale, GA 30079-1124

Mailing address

PO Box 190905
Brookhaven, GA 31119
Phone (770) 237-9983

Other names 1

  • Annes Garden LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1497467294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190905",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "31119",
            "telephone_number": "770-237-9983",
            "fax_number": "833-811-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 KENTUCKY ST",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791124",
            "telephone_number": "770-276-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY L CARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "CARY",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-472-3131",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annes Garden LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Annes Garden LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.