MRS. SHELLEY H MALLARD (NPI# 1568404457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568404457 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY H MALLARD |
| Credential | APRN, BC, FNP |
| Practice Address |
305 Jones Ave Waynesboro GA 30830-1510 |
| Practice Telephone | 7065545147 |
| Practice Fax Number | 7065546111 |
| Mailing Telephone | 7065545147 |
| Mailing Fax Number | 7065546111 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R1129202 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 JONES AVE |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469078 | Medical Specialists, Inc. | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-05-31 |
| 1720334931 | Jenifer Byrd | Nurse Practitioner | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2012-07-25 |
| 1053680405 | Karen Elaine Burke | Nurse Practitioner | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2011-12-14 |
| 1306057328 | Troy E Hutcheson | Physician Assistant | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2007-05-24 |
| 1336182203 | Shelley A Griffin | Pediatrics | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-14 |
| 1962445841 | Johnny F Christian | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-14 |
| 1780626721 | Joseph L Jackson Jr. | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-12 |
| 1215979257 | Harvey J Sanders Jr. | Internal Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-12 |
| 1366483356 | Joseph L Jackson Sr. | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-09 |
| 1063459899 | Medical Specialists | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268235 | Selena M Powe | Nurse Practitioner | 951 Matthew Dr Ste D, Waynesboro, MS 39367-2566 | 2020-02-28 |
| 1144862970 | Bobby Harris | Nurse Practitioner | 1008 Azalea Dr, Waynesboro, MS 39367-2499 | 2019-10-14 |
| 1659928083 | Kara Lynn Jacobs | Nurse Practitioner | 15 Pratts Run Ste 104, Waynesboro, VA 22980-6606 | 2019-08-21 |
| 1083181499 | Jennifer Adler | Nurse Practitioner | 12466 Jackson Ave, Waynesboro, PA 17268-4006 | 2018-10-24 |
| 1144795618 | Shametrial Litrell Glascock | Nurse Practitioner | 509 W 4th St, Waynesboro, GA 30830-1514 | 2018-10-10 |
| 1447637905 | Abigail Joyce Gingerich | Nurse Practitioner | 11609 Koons Rd, Waynesboro, PA 17268-9606 | 2015-05-04 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1477833770 | Janna Phillips | Nurse Practitioner | 713 Lomax Ave, Waynesboro, MS 39367-2556 | 2011-08-18 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1225341100 | Angela B Boyd | Nurse Practitioner | 501 Azalea Dr Ste F, Waynesboro, MS 39367-2661 | 2010-07-20 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
Please comment or provide details below to improve the information on MRS. SHELLEY H MALLARD.
| 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.