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Active NPI 1639800634 Individual Practitioner Female Practitioner

Mallory Paige Sullivan , APRN

Nurse Practitioner • Panama City Beach, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mallory Sullivan, APRN is a certified Nurse Practitioner practicing in Panama City Beach, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Mallory Sullivan delivers high-quality medical care to the local community at 12234 PANAMA CITY BEACH PKWY STE C.

Mallory Sullivan is affiliated with Health First Privia Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to, annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12234 Panama City Beach Pkwy Ste C

Panama City Beach, FL 324072726

Telephone 8502332323
Fax 8502331055
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Panama City Beach, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Panama City Beach, FL (8990 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
47.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (4 Years) 4 Yrs
Panama City Beach Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
154 154 $155.00 $106.19
G0444 Annual depression screening, 5 to 15 minutes
153 153 $50.00 $15.04
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
152 152 $55.00 $21.78
99497 Advance care planning, first 30 minutes
147 147 $125.00 $69.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes
147 147 $50.00 $15.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
74 63 $170.00 $105.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
52 12 $5.00 $1.07
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
46 46 $55.00 $21.51
99213 Established patient office or other outpatient visit, typically 15 minutes
44 34 $120.00 $73.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg
26 12 $2.00 $0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
16 14 $50.00 $11.63

Medical Specialties & State Licenses

CMS Verified: 2024-08-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11020277

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Health First Privia Medical Group

12234 Panama City Beach Pkwy, Panama City, FL 324072725

Phone: 7703125226

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Adam Richardson , APRN

Nurse Practitioner - Family

NPI 1285049577

Advanced Practice Registered Nurse

William Mcclung , APRN

Nurse Practitioner - Family

NPI 1356664817

Advanced Practice Registered Nurse

NPI 1396849691

Doctor of Medicine (M.D.)

Ronda Toole , APRN

Nurse Practitioner - Family

NPI 1467491290

Advanced Practice Registered Nurse

Dr. Cody Phillips , MD

Family Medicine

NPI 1669944971

Doctor of Medicine (M.D.)

Joellen Flory , ARNP

Nurse Practitioner - Family

NPI 1902897457

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated August 20, 2024

Recorded as MALLORY SULLIVAN, APRN

NPI Profile Active June 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2022

Registered at 12234 PANAMA CITY BEACH PKWY STE C, PANAMA CITY BEACH, FL 324072726 (Tel: 8502332323)

📍
Updated Business Mailing Address June 21, 2022

Registered at 12234 PANAMA CITY BEACH PKWY STE C, PANAMA CITY BEACH, FL 324072726 (Tel: 8502332323)

👤
Provider Name / Credentials Updated June 21, 2022

Recorded as MALLORY FICKLING SULLIVAN, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2022

Nurse Practitioner (License #APRN11020277 in FL)

🟢
Initial NPI Registration & Enumeration June 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639800634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2022
Last Update: August 20, 2024
Sole Proprietor: No

Mailing Address

12234 Panama City Beach Pkwy Ste C

Panama City Beach, FL 324072726

Phone: 8502332323

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.