Organization Active NPI

Mallory a Lawrence MD PC

  • Colon & Rectal Surgery Physician
  • Augusta, GA
National Provider Identifier
1861004871
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
MALLORY A LAWRENCE MD PC
Practice address
1430 Harper St Ste B
Augusta, GA 30901-0619
Phone
(706) 724-5451
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Jennifer C Finley
Title
Practice Administrator
Phone
(706) 724-5451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

1430 Harper St Ste B
Augusta, GA 30901-0619

Mailing address

1430 Harper St Ste B
Augusta, GA 30901-0619
Phone (706) 724-5451

Other names 1

  • Mallory A Lawrence, MD PC Doing business as

National Provider Directory

National Provider Directory

Locations

1430 Harper St
Ste B
Augusta, GA 30901
Phone (706) 724-5451

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1861004871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HARPER ST STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010619",
            "telephone_number": "706-724-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HARPER ST STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010619",
            "telephone_number": "706-724-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY A LAWRENCE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-724-5451"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallory A Lawrence, MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.