P Praxis·MD
● Active Type 1 · Individual

Edna Elaine Mallory, NP-C

Nurse Practitioner·Lagrange, GA· NPI 1255682381 · Enumerated 2012 · 13 years on NPI
Mallory is 1 of 56 nurse practitioner providers in Lagrange and 1 of 8826 in Georgia.
NPI age
13 years
Enumerated 2012-09-28
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-09Enumerated in NPPES
2012 2026

Where they practice

Practice location
2169 W Point Rd
Lagrange, GA 302404002
📞 7069029516
Mailing address
35 Ely Callaway Road
West Point, GA 31833
📞 7068851401

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN185828AL license #1-108083 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Lagrange in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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