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

Mallory Matheson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235765306

Mallory Matheson is a Physician Assistant in Norfolk, Virginia. Graduated from Eastern Virginia Medical School in 2020, 6 years ago. Practices with North Florida Surgeons PA, a 336-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Eastern Virginia Medical School
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5900 Lake Wright Dr
Norfolk, VA 23502-1871
Phone: (757) 466-8683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235765306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2020
Last updated in NPPESAugust 23, 2020
Certification dateAugust 23, 2020
Mailing address5900 Lake Wright Dr, Norfolk, VA 23502-1871

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Norfolk