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

Mrs. Mallory Smith, NP

Individual provider Primary Care Nurse Practitioner · NPI 1003533357

Mrs. Mallory Smith, NP is a Nurse Practitioner in Shaw AFB, South Carolina. Qualified in 2017, 9 years ago. Practices with Tandem Health SC, a 32-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

420 Polifka Dr
Shaw AFB, SC 29152-5100
Phone: (803) 895-2273
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26148 (SC)

Record details

NPI number1003533357
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address420 Polifka Dr, Shaw Afb, SC 29152-5100

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tandem Health Sc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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