Active NPI
Mallory L Cary
- Psychiatric/Mental Health Clinical Nurse Specialist
- Scottdale, GA
National Provider Identifier
1497467294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Health & Wellness Coach | 171400000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Psychiatric/Mental Health Clinical Nurse Specialist | 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
National Provider Directory
National Provider DirectoryNPI 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.