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

Mallory Stavrinakis

Individual provider Registered Nurse · NPI 1154881969

Mallory Stavrinakis is a Registered Nurse in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia and North Carolina.

Licensed in
GA, NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1405 Clifton Rd NE
Atlanta, GA 30322-1060
Phone: (262) 483-1580
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5014947 (NC)
Registered Nurse Taxonomy 163W00000X · Licence RN253137 (GA)

Record details

NPI number1154881969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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