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

Mallory Sprague, MD

Individual provider Family Medicine Physician · NPI 1366891632

Mallory Sprague, MD is a Family Practice in Potsdam, New York. Qualified in 2016, 10 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone: (315) 261-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 301774 (NY)

Record details

NPI number1366891632
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address50 Leroy St, Potsdam, NY 13676-1786

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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