Individual provider Active NPI

Mallory Sahni

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1871040980
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN220493 Issued in GA
Practice address
3182 Shallowford Rd NE
Atlanta, GA 30341-3640
Phone
(770) 457-5758
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN220493 GA Primary

Addresses

Primary practice location

3182 Shallowford Rd NE
Atlanta, GA 30341-3640

Mailing address

3182 Shallowford Rd NE
Atlanta, GA 30341-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN220493GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Jul 8, 2019 Accepting new patients
Servicio Medico Hispano PastSince Aug 13, 2023 Accepting new patients

Locations

125 W Main St
Cartersville, GA 30120
Phone (678) 605-1840

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAHDCD
  • Direct secure messaging: mallory.sahni.p1@direct.alegiscare.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1871040980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 SHALLOWFORD RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 SHALLOWFORD RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413640",
            "telephone_number": "770-457-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHNI",
        "first_name": "MALLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.