Active NPI
Tonya Renee Mallory, RN
- Registered Nurse
- McDonough, GA
National Provider Identifier
1790635076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN291685
- Practice address
- 2020 Avalon Pkwy Ste 365
McDonough, GA 30253-3089 - Phone
- (470) 696-6723
- Fax
- (770) 520-7073
- NPI assigned
- Jan 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN291685 | GA | Primary |
Addresses
Primary practice location
2020 Avalon Pkwy Ste 365
McDonough, GA 30253-3089
Mailing address
2020 Avalon Pkwy Ste 365
McDonough, GA 30253-3089
Phone (470) 696-6723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN291685 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Safe Commute LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- McDonough, GA
- NPI 1164243184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1790635076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 AVALON PKWY STE 365",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533089",
"telephone_number": "470-696-6723",
"fax_number": "770-520-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 AVALON PKWY STE 365",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533089",
"telephone_number": "470-696-6723",
"fax_number": "770-520-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY",
"first_name": "TONYA",
"middle_name": "RENEE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-28",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN291685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.