Active NPI
Paul William Mallory, M.D.
- Retina Specialist (Ophthalmology) Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 61001
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-1554 - Phone
- (615) 322-3000
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 61001 | TN | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 61001 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-1554
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000
Other practice location 1
1400 W 22nd St
Sioux Falls, SD 57105-1554
Phone (605) 357-1386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61001 | Other | TN | MEDICAL LICENSE - OPHTHALMOLOGY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmallory569651@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Sanford School of Medicine of University of South Dakota, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7268 Jarnigan Rd
Suite 200
Chattanooga, TN 37421-3097
Phone 4235087337205
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.4 of 100
- Quality
- 76.44
- Promoting interoperability
- 67
- Improvement activities
- 40
- Cost
- 72.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61001 | TN | MD | Retina Specialist (Ophthalmology) Physician |
| 0312 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Specialists PLLC | Ophthalmology | Current | Accepting new patients |
| Southeast Eye Specialists PLLC | Ophthalmology | Current | Accepting new patients |
Locations
135 N Meadows Dr
Ste D
Athens, TN 37303
Phone 4235087337205
1609 Decatur Pike
Athens, TN 37303
Phone (423) 472-5401
135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314
7268 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone 4235087337289
2158 Northgate Park Ln
Ste 414
Chattanooga, TN 37415
7305 Jarnigan Rd
Ste 220
Chattanooga, TN 37421
4160 Ocoee St N
Ste 7
Cleveland, TN 37312
Phone 42350837737
195 White Oak Rd
Ste 300
Dayton, TN 37321
Phone (423) 332-8222
9453 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 332-8222
Interoperability endpoints
- pmallory569651@direct.vumc.org
- pmallory@southeasteye.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Chattanooga, TN
- NPI 1518961176
-
- Ophthalmology Physician
- Nashville, TN
- NPI 1003437138
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1790149821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"telephone_number": "615-936-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372321554",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [
{
"address_1": "1400 W 22nd St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051554",
"country_code": "US",
"telephone_number": "605-357-1386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLORY",
"first_name": "PAUL",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "61001",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TN",
"license": "61001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE - OPHTHALMOLOGY",
"identifier": "61001",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmallory569651@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372321554",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.