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

Mallory Mariya Ragan Royall, FNP

Individual provider Nurse Practitioner · NPI 1336692607

Mallory Mariya Ragan Royall, FNP is a Nurse Practitioner in Concord, North Carolina. Qualified in 2016, 10 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

200 Medical Park Dr Ste 430
Concord, NC 28025-2982
Phone: (704) 403-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-0720
  • 2001 Vail Ave, Charlotte, NC 28207-1248 — (704) 304-6070
  • 10628 Park Rd, Charlotte, NC 28210-8407 — (704) 667-7070
  • 8800 N Tryon St, Charlotte, NC 28262-3300 — (704) 863-6241

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5008788 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5008788 (NC)

Record details

NPI number1336692607
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESJuly 15, 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 Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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