NPIMap

Individual provider Active NPI

Mallorie Boswell Greenway, PA

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1619629243
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12265 Issued in GA
Practice address
6602 Waters Ave BLDG C
Savannah, GA 31406-2778
Phone
(912) 354-7676
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12265 GA Primary

Addresses

Primary practice location

6602 Waters Ave BLDG C
Savannah, GA 31406-2778

Mailing address

427 E 51St St
Savannah, GA 31405-2352

Other names 1

  • Mallorie Leanne Boswell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220408000234 TN Practitioner - Physician Assistant 7810383445 Reassigns benefits to 1 organization
I20241226000199 SC Practitioner - Physician Assistant 7810383445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2700 May River Xing
Bluffton, SC 29910-9731
Phone (843) 585-2520

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

  • Amedisys Home Health of Bluffton Home health agency, Bluffton, SC, CCN 427048
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4904TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2700 May River Xing
Bluffton, SC 29910
Phone (843) 585-2520

2700 May River Xing
Ste 100
Bluffton, SC 29910
Phone (843) 985-2520

380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

Interoperability endpoints

  • Direct secure messaging: mgreenway510278@direct.musc.edu

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 11

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1619629243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E 51ST ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE BLDG C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062778",
            "telephone_number": "912-354-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "MALLORIE",
        "middle_name": "BOSWELL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORIE",
            "last_name": "BOSWELL",
            "middle_name": "LEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.