Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255640074 Individual Practitioner Female Practitioner

Mallory K Bellissimo , PA-C

Physician Assistant • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Mallory Bellissimo, PA-C is a registered healthcare professional specializing in Physician Assistant in Atlanta, GA. Practice services are available at 3617 ROSWELL RD NE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3617 Roswell Rd Ne

Atlanta, GA 303051111

Telephone 4049960196
Fax 4044672489

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
1197 Specialists

Practicing in Atlanta, GA (4726 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $255.68 $93.69
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $220.00 $75.84
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
11 11 $59.00 $50.28

Medical Specialties & State Licenses

CMS Verified: 2023-11-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 10513

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA60385985

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1043715295

Doctor of Medicine (M.D.)

Kim Oanh Le , NP

Nurse Practitioner - Family

NPI 1134745581

Nurse Practitioner

Alana Jones , APRN

Nurse Practitioner - Family

NPI 1235873225

Advanced Practice Registered Nurse

Kimberly Galaska , PA-C

Physician Assistant

NPI 1811237027

Physician Assistant (Certified)

Bela Mody , APN

Nurse Practitioner - Family

NPI 1841741493

Advanced Practice Nurse

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 07, 2023

Registered at 3617 ROSWELL RD NE, ATLANTA, GA 303051111 (Tel: 4049960196)

📍
Updated Business Mailing Address November 07, 2023

Registered at 961 ADAIR AVE NE, ATLANTA, GA 303063809 (Tel: 7174976851)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2023

Physician Assistant (License #10513 in GA)

NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2014

Registered at 1600 E JEFFERSON ST STE 510, SEATTLE, WA 981225648 (Tel: 2063204888)

📍
Updated Business Mailing Address January 03, 2014

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤
Provider Name / Credentials Updated January 03, 2014

Recorded as MALLORY BELLISSIMO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Physician Assistant (License #PA60385985 in WA)

🟢
Initial NPI Registration & Enumeration September 28, 2010

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: 1255640074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2010
Last Update: November 07, 2023
Sole Proprietor: No

Mailing Address

961 Adair Ave Ne

Atlanta, GA 303063809

Phone: 7174976851

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.