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

Mallorie Boswell Greenway, PA

Individual provider Physician Assistant · NPI 1619629243

Mallorie Boswell Greenway, PA is a Physician Assistant in Savannah, Georgia. Qualified in 2021, 5 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6602 Waters Ave Bldg C
Savannah, GA 31406-2778
Phone: (912) 354-7676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12265 (GA)

Record details

NPI number1619629243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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