Individual provider Active NPI

Andrew Currier Mallette, M.D.

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1740577436
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T-2458 Issued in MS
Practice address
501 Marshall St Ste 500
Jackson, MS 39202-1615
Phone
(601) 948-1411
Fax
(601) 948-0090
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T-2458 MS Primary

Addresses

Primary practice location

501 Marshall St Ste 500
Jackson, MS 39202-1615

Mailing address

501 Marshall St
Ste 500
Jackson, MS 39202-1615
Phone (601) 948-1411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160701001792 MS Practitioner - General Surgery 7012209562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Surgical Clinic Associates, P.a.Group PAC ID 4082687058, 8 clinicians

Practice addresses (Care Compare)

501 Marshall St
Suite 500
Jackson, MS 39202-1615
Phone 6019481411147

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.94 of 100Reported as group
Quality
41.08
Improvement activities
40
Cost
71.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-2458MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic Associates, P.a. Surgery CurrentSince Jul 18, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients

Locations

501 Marshall St
Ste 500
Jackson, MS 39202
Phone (601) 948-1411

Interoperability endpoints

  • Direct secure messaging: amallette148240@direct.bmhcc.org
  • Direct secure messaging: amallette@sca.gwaydirect.com

Organizations & group practices 2

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 5

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1740577436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 500",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-948-1411",
            "fax_number": "601-948-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 500",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-948-1411",
            "fax_number": "601-948-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "ANDREW",
        "middle_name": "CURRIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "T-2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.