Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin Lauren Mallory, NP

Individual provider Family Nurse Practitioner · NPI 1992384507

Kristin Lauren Mallory, NP is a Nurse Practitioner in Lagrange, Georgia. Qualified in 2016, 10 years ago. Practices with Hometown Physician Group, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1698 Vernon Rd
Lagrange, GA 30240-4100
Phone: (706) 298-4937
Fax: (706) 812-4157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN236013 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN236013 (GA)

Record details

NPI number1992384507
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hometown Physician Group, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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