Individual provider Active NPI

Mallory Annalois Kirkland, DPM

  • Foot & Ankle Surgery Podiatrist
  • Madison, AL
National Provider Identifier
1609337518
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
368 Issued in AL
Practice address
1041 Balch Rd Ste 320
Madison, AL 35758-8822
Phone
(256) 273-7068
Fax
(833) 450-6328
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 368 AL
Foot & Ankle Surgery Podiatrist 213ES0103X 368 AL Primary

Addresses

Primary practice location

1041 Balch Rd Ste 320
Madison, AL 35758-8822

Mailing address

4101 Charlotte Ave Ste F185
Nashville, TN 37209-4066
Phone (256) 273-7068

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802000666 AL Practitioner - Podiatry 7618202300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

2057 Valleydale Rd
Suite 109
Hoover, AL 35244-2707
Phone (205) 822-8038

5511
Suite 118
Birmingham, AL 35242
Phone (205) 980-2005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions1-10
Removal of nail tissue873
Removal or shaving of skin growth271
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
368ALMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 21, 2022 Accepting new patients
Vital Path Care PC Podiatrist CurrentSince Feb 24, 2025 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Jul 21, 2022 Accepting new patients

Locations

5511 Highway 280
Ste 118
Birmingham, AL 35242
Phone (205) 980-2005

2057 Valleydale Rd
Ste 109
Hoover, AL 35244
Phone (205) 822-8038

1041 Balch Rd
Ste 320
Madison, AL 35758
Phone (256) 273-7068

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: mallory.kirkland.1@4399.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1609337518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CHARLOTTE AVE STE F185",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094066",
            "telephone_number": "256-273-7068",
            "fax_number": "833-450-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 320",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-273-7068",
            "fax_number": "833-450-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "MALLORY",
        "middle_name": "ANNALOIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "368",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.