MALORY BERRY (NPI# 1356836332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356836332 |
| Entity Type | Individual |
| Full Name | MALORY BERRY |
| Credential | NP |
| Practice Address |
765 Florence Rd Savannah TN 38372 |
| Mailing Address |
Po Box 655 Savannah TN 38372-0655 |
| Practice Telephone | 7319252300 |
| Mailing Telephone | 7319252300 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 185481 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
24631 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
765 FLORENCE RD |
| City | SAVANNAH |
| State | TN |
| Zip Code | 38372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548212665 | Shadi M. Karabsheh | Specialist | 765 Florence Rd, Savannah, TN 38372-3101 | 2006-05-17 |
| 1063058667 | Abby Elizabeth Smith | Nurse Practitioner | 765 Florence Rd, Savannah, TN 38372-3451 | 2019-11-19 |
| 1578051850 | Angela M Nixon | Nurse Practitioner | 765 Florence Rd, Savannah, TN 38372-3451 | 2018-04-23 |
| 1831540749 | Valerie R Barber | Physician Assistant | 765 Florence Rd, Savannah, TN 38372-3451 | 2016-06-22 |
| 1790168938 | Eric Hart | Physician Assistant | 765 Florence Rd, Savannah, TN 38372-3451 | 2015-07-07 |
| 1962763771 | Lauren Whitley | Family Medicine | 765 Florence Rd, Savannah, TN 38372-3451 | 2012-06-07 |
| 1881954329 | Anna E Nugent | Physician Assistant | 765 Florence Rd, Savannah, TN 38372-3451 | 2012-05-17 |
| 1467745984 | Ionela Alina Halke | Family Medicine | 765 Florence Rd, Savannah, TN 38372-3451 | 2011-05-17 |
| 1962794016 | Donald J Halke | Family Medicine | 765 Florence Rd, Savannah, TN 38372-3451 | 2011-05-09 |
| 1265734966 | Edmund L. Carey Jr. | Internal Medicine | 765 Florence Rd, Savannah, TN 38372-3451 | 2010-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1538671631 | Qualls Harbin Family Medicine LLC | Nurse Practitioner | 255 Riverside Drive, Savannah, TN 38372 | 2017-10-30 |
| 1912215500 | John D. Lay Md | Family Medicine | 855 Wayne Rd Ste B, Savannah, TN 38372 | 2010-09-17 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1972810349 | Teresa Carol Williams | Pharmacist | Kroger At 775 Pickwick Rd, Savannah, TN 38372 | 2010-09-08 |
| 1619128089 | Robert L. Ginn | Dietitian, Registered | 935 Wayne Rd., Savannah, TN 38372 | 2008-10-03 |
| 1821246786 | Delca Sue Rickman | Social Worker | 765 Florence Rd., Savannah, TN 38372 | 2008-09-04 |
| 1215119102 | Grimes - Bevis Chiropractic, Pllc | Chiropractor | 1940 Pickwick St., South, Savannah, TN 38372 | 2007-12-03 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1730300690 | William F. Conway, Md, Inc | Internal Medicine | 855 Wayne Road, Suite A1, Savannah, TN 38372 | 2007-05-01 |
| Find all providers in zip 38372 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687690 | Lisa Marie Hogan | Nurse Practitioner | 135 Betsy Dr, Savannah, TN 38372-8907 | 2020-01-03 |
| 1619442951 | Leah Jean Carter | Nurse Practitioner | 1309 Trafford Ln, Savannah, GA 31410-5120 | 2018-10-12 |
| 1437761566 | Muscogee Mental Health and Wellness Services LLC | Nurse Practitioner | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-08-19 |
| 1013525005 | Dhariniben Patel | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2020-07-16 |
| 1336775550 | Tshaun Grant | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-03-19 |
| 1720611379 | Emilie Taulbee | Nurse Practitioner | 601 E 66th St, Savannah, GA 31405-4519 | 2020-02-21 |
| 1922631670 | Joseph Anthony Walker | Nurse Practitioner | 601 E 66th St, Savannah, GA 31405-4519 | 2020-02-20 |
| 1942833009 | Lauren Brittany Tatum | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-02-18 |
| 1558992974 | Faqueta Kenisha Green | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-02-04 |
| 1154817906 | Mary Alice Gillingham | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-07-05 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.