Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Mary Nelson, PA-C

Individual provider Surgical Physician Assistant · NPI 1588273122

Mallory Mary Nelson, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with North Florida Surgeons PA, a 336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2 Shircliff Way Bldg SUITE635
Jacksonville, FL 32204-4753
Phone: (904) 922-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3286 Northside Pkwy Nw Unit 1000, Atlanta, GA 30327-2223 — (404) 841-8450

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9862 (GA)

Record details

NPI number1588273122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 29, 2020
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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