NPI age
14 years
Enumerated 2011-09-28
● Active
Type 1 · Individual
Reema Mallick, M.D.
Mallick is 1 of 16 surgery providers in Stockbridge and 1 of 1389 in Georgia.
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, MN, AL
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-09Enumerated in NPPES
2011
2026
Where they practice
Practice location
1040 Eagle'S Landing Parkway, Suite 100
Stockbridge, GA 30281
Mailing address
1040 Eagle'S Landing Parkway, Suite 100
Stockbridge, GA 30281
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
619 19th St S
Birmingham, AL 352490363
Location 3
619 19th St S
Birmingham, AL 352490363
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003227593A |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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