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

Mallory Kay Ballard

Individual provider Physician Assistant · NPI 1972177251

Mallory Kay Ballard is a Physician Assistant in Little Rock, Arkansas. Qualified in 2021, 5 years ago. Practices with Arkansas Dermatology PLLC, a 20-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375
Phone: (501) 975-7455
Fax: (501) 975-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972177251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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 Arkansas Dermatology Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Little Rock