Active NPI
Nisha Mall
- Physician Assistant
- Clayton, NC
National Provider Identifier
1538080353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16894
- Practice address
- 150 Parkview Center Cir
Clayton, NC 27520-1788 - Phone
- (919) 585-5025
- NPI assigned
- Jul 25, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-16894 | NC | Primary |
Addresses
Primary practice location
150 Parkview Center Cir
Clayton, NC 27520-1788
Mailing address
1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1538080353",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PARKVIEW CENTER CIR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275201788",
"telephone_number": "919-585-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALL",
"first_name": "NISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-25",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.