Active NPI
Mallory Ann Hoskins, PA
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1811550197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-13784
- Practice address
- 16817 Marvin Rd
Charlotte, NC 28277-2196 - Phone
- (704) 495-6334
- NPI assigned
- Apr 22, 2019
- Last updated
- May 12, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-13784 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 4209 | SC | |
| Specialist | 174400000X | 4209 | SC | |
| Dermatology Physician | 207N00000X | 2381 | NE | |
| Dermatology Physician | 207N00000X | 4209 | SC |
Addresses
Primary practice location
16817 Marvin Rd
Charlotte, NC 28277-2196
Mailing address
5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- 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
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16817 Marvin Rd
Charlotte, NC 28277-2196
Phone (704) 495-6334
201 S College St
FL 12
Charlotte, NC 28244-0002
Phone (704) 495-6334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4209 | SC | MD | Chiropractor |
| 2381 | NE | MD | Occupational Therapist |
| 0010-13784 | NC | MD | Physician Assistant |
Interoperability endpoints
- mallory.hoskins.1@17847.direct.athenahealth.com
- mhoskins@rockhillderm.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1992204549
-
- Dermatology Physician
- Rock Hill, SC
- NPI 1447420070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1811550197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 FAIRVIEW RD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103113",
"telephone_number": "704-495-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16817 MARVIN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772196",
"telephone_number": "704-495-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSKINS",
"first_name": "MALLORY",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-13784",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "4209",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "4209",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "2381",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "4209",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "$$$$$$$$$",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Sarah Margaret Horvath, CRNA
- Vanessa Hosein, MA, LPC, NCC
- Stephanie Hosford, PSYD
- Madeline Victoria Hosking, MD
- Jessica Hoskins, PA
- Teresa Kathryn Hoskins, DO, MPH, CPH
- Hospice & Palliative Care Charlotte Region (VIA Health Partners)
- Hospice & Palliative Care Charlotte Region
- Hospitalist Solution, PLLC
- Hospitality House of Charlotte
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.