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

Mrs. Mallory Bunton Anderson, FNP-BC

Individual provider Nurse Practitioner · NPI 1104166255

Mrs. Mallory Bunton Anderson, FNP-BC is a Nurse Practitioner in West Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2012, 14 years ago. Practices with Consultants in Gastroenterology PA, a 37-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2013
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

131 Summerplace Dr
West Columbia, SC 29169-3058
Phone: (803) 794-4585
Fax: (803) 796-8924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 18187 (SC)

Record details

NPI number1104166255
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESFebruary 27, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Consultants In Gastroenterology Pa — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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