Active NPI
Mary Mallory, NP
- Adult Health Nurse Practitioner
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024174999
- Practice address
- 6160 Kempsville Cir Ste 325a
Norfolk, VA 23502-3933 - Phone
- (757) 354-2885
- NPI assigned
- Sep 22, 2017
- Last updated
- May 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024174999 | VA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 0024174999 | VA |
Addresses
Primary practice location
6160 Kempsville Cir Ste 325a
Norfolk, VA 23502-3933
Mailing address
900 Mountain Laurel TRL
Virginia Beach, VA 23454-3552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Norfolk, VA 23502
Phone (757) 354-2885
6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174999 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Mid-Atlantic Post Acute & Long Term Care PLLC | Adult Health | Current | Accepting new patients |
| SE Virginia Value Based Care, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
7202 Poplar St
Ste E
Annandale, VA 22003
Phone (571) 830-6195
8644 Sudley Rd
#220
Manassas, VA 20110
6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885
6171 Kempsville Cir
Norfolk, VA 23502
Phone (757) 622-2208
1148 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 481-3321
4560 Princess Anne Rd
Virginia Beach, VA 23462
Phone (757) 474-1249
5580 Daniel Smith Rd
Virginia Beach, VA 23462
Phone (757) 449-7029
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
Adult Health
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225720501
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours Home Care by Compassus
- Home Health Agency
- Suffolk, VA
- NPI 1508684457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1629587530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MOUNTAIN LAUREL TRL",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 KEMPSVILLE CIR STE 325A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023933",
"telephone_number": "757-354-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024174999",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024174999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.