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

Mallory McCord Aycock, PA-C

Individual provider Physician Assistant · NPI 1982987376

Mallory McCord Aycock, PA-C is a Physician Assistant in Kennesaw, Georgia. Graduated from Medical College of Georgia School of Medicine in 2011, 15 years ago. Practices with Georgia Skin Cancer and Aestheitic Dermatology, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

750 Townpark Lane Kaiser Permanente Townpark Medical Ctr
Kennesaw, GA 30144
Phone: (404) 256-9692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006613 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 6613 (GA)

Record details

NPI number1982987376
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2011
Last updated in NPPESJanuary 29, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Georgia Skin Cancer And Aestheitic Dermatology, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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