Mallory Edwards, PA-C
NPI 1467876409 · Physician Assistant · Granville, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory Edwards, PA-C is a Physician Assistant provider in Granville, NY (NPI 1467876409).
Provider details
- NPI number
- 1467876409
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 017372 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 17875 Von Karman Ave Ste 150&250Irvine, CA 92614-6200Phone: (855) 433-1680
Registry dates
- Enumerated
- 2014-02-11
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Frequently asked questions
- What is Mallory Edwards's NPI number?
- Mallory Edwards's National Provider Identifier (NPI) is 1467876409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Edwards's specialty?
- Mallory Edwards is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory Edwards located?
- Mallory Edwards's practice location on file with NPPES is 79 North St, Granville, NY 12832-1137.
- What is Mallory Edwards's phone number?
- The practice phone number listed in the NPPES registry for Mallory Edwards is (518) 642-0612.
- Does Mallory Edwards accept Medicare?
- Mallory Edwards is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory Edwards's NPI active?
- Yes — Mallory Edwards's NPI (1467876409) is active in the NPPES registry as of the last update on 2024-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.