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

Mallory Boyette

Individual provider Family Nurse Practitioner · NPI 1013578640

Mallory Boyette is a Nurse Practitioner in Savannah, Georgia. Qualified in 2019, 7 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

5354 Reynolds Street Professional Bldg Ste 318
Savannah, GA 31405
Phone: (912) 819-4870
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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 RN234868 (GA)

Record details

NPI number1013578640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address5354 Reynolds Street, Professional Building Suite 318, Savannah, GA 31405

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Savannah