NPIMap

Individual provider Active NPI

Mallory J Melby, PA

  • Physician Assistant
  • Hot Springs, AR
National Provider Identifier
1891209086
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-749 Issued in AR
Practice address
1662 Higdon Ferry Rd Ste 300
Hot Springs, AR 71913-6982
Phone
(501) 321-2663
NPI assigned
Nov 27, 2017
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-749 AR Primary

Addresses

Primary practice location

1662 Higdon Ferry Rd Ste 300
Hot Springs, AR 71913-6982

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 321-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228000375 AR Practitioner - Physician Assistant 0547528325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Arkansas College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Hot Springs, AR 71913-6440

1 Mercy LN
Suite 201
Hot Springs National Park, AR 71913-6457
Phone (501) 321-2229

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

300 Werner St
Hot Springs, AR 71913-6406

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Nov 20, 2017 Accepting new patients
Healthfirst Physicians of Arkansas, P. a. Past Accepting new patients
Hot Springs MRI Center Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1662 Higdon Ferry Rd
Ste 300
Hot Springs National Park, AR 71913
Phone (501) 321-2226

Interoperability endpoints

  • Direct secure messaging: mburroughs473589@directb.mercy.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1891209086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-321-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 HIGDON FERRY RD STE 300",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136982",
            "telephone_number": "501-321-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBY",
        "first_name": "MALLORY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.