MALLORY D. LEWIS DO – NPI #1588192520
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MALLORY LEWIS is a physician located in PACE, FL. NPPES has assigned the NPI number 1588192520 to MALLORY LEWIS on June 02, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MALLORY DIANE STREIFFERT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Sep 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MALLORY LEWIS below.

NPI Profile for
MALLORY D. LEWIS

NPI Number
1588192520
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MALLORY D. LEWIS
Former Name: MALLORY DIANE STREIFFERT
Credentials
DO
Primary location
3754 HIGHWAY 90 STE 300
PACE, FL 32571-1098
Phone: (850) 416-5510 Fax:
Mailing address
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone: (904) 450-6063 Fax: (904) 539-4091
Sole Proprietor
No
Updated
Certification Date
Sep 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 FL OS17878
207QS0010X
- Family Medicine / Sports Medicine		 FL OS17878

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MALLORY LEWIS is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST HOSPITAL
      1000 W MORENO ST
      PENSACOLA, FL 32501
    • SACRED HEART HOSPITAL
      5151 N 9TH AVE
      PENSACOLA, FL 32504
    • SANTA ROSA MEDICAL CENTER
      6002 BERRYHILL RD
      MILTON, FL 32570

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.