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

Individual provider Physician Assistant · NPI 1033589080

Mallory Parker, PA-C is a Physician Assistant in West Columbia, South Carolina. Qualified in 2015, 11 years ago. Practices with Lake Fork Health Services District, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
11
Licensed in
GA, SC
In the registry since
2015
Specialties on file
2
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

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone: (803) 791-2480
Fax: (803) 936-4102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2584 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 7774 (GA)

Record details

NPI number1033589080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2015
Last updated in NPPESMarch 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lake Fork Health Services District — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in West Columbia