Mallory Noelle Luckey, MD
Mallory Noelle Luckey, MD is a Neurology in Banner Elk, North Carolina. Qualified in 2016, 10 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Missouri, North Carolina and New York and 2 more.
- Years since qualifying
- 10
- Licensed in
- FL, MO, NC, NY, OR, SC
- In the registry since
- 2016
- Specialties on file
- 6
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
640 Puddingstone PkwyBanner Elk, NC 28604-7418
Phone: (864) 237-4021
Fax: (864) 778-8417
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966-1206 — (239) 208-2212
- 2790 Clay Edwards Dr Ste 1235, North Kansas City, MO 64116-3276 — (816) 472-5157
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 302609 (NY) |
|---|---|
| Neurology Physician | Taxonomy 2084N0400X · Licence 2022-01271 (NC) |
| Neurology Physician | Taxonomy 2084N0400X · Licence ME159060 (FL) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 2023006973 (MO) |
| Neurology Physician | Taxonomy 2084N0400X · Licence MD214178 (OR) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence LL39661 (SC) |
Record details
| NPI number | 1770932170 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2016 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Physician Affiliate Group Of New York Pc — 1224 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |