NPI age
20 years
Enumerated 2006-04-14
● Active
Type 1 · Individual
Michael Mallory, MD, MPH
Mallory is 1 of 73 pediatrics providers in Atlanta and 1 of 89 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 89 active pediatrics providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
1001 Johnson Ferry Rd Ne
Atlanta, GA 303421605
Mailing address
2133 Kodiak Dr Ne
Atlanta, GA 303454149
Specialties
-
Pediatrics PrimaryA pediatrician who has special qualifications to manage emergencies in infants and children.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 497037753 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 74 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.