GREGORY WAYNE MALLARD (M.D.) – Family Medicine Physician, NPI 1235146846

GREGORY WAYNE MALLARD (M.D.) is a healthcare provider. based in Piggott, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. E2399 (AR). The NPI Number for GREGORY WAYNE MALLARD (M.D.) is 1235146846

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY WAYNE MALLARD (M.D.)
NPI
1235146846
Phone
(870) 598-2236
Address
425 W JACKSON ST
Enumeration Date
3 August 2006
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4346541850
Graduation Year
1998 (28 years ago)
PAC ID
3577570746
Group Practice PAC ID
5991889081
Professional Enrollment ID
I20190201002004
Address ID
VA229683096RU140XXSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for GREGORY WAYNE MALLARD (M.D.)

  • 425, West Jackson Street, Piggott, Clay County, Arkansas, 72454, United States

    PIGGOTT, AR 724541538

    Phone: (870) 598-2236

    Fax: (870) 598-3080

    Type: Mailing

  • 140 STONERIDGE DR S STE 100

    RUCKERSVILLE, VA 229683096

    Phone: (434) 654-1850

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190201002004IFamily PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample517293$0
99214Established patient office or other outpatient visit, 30-39 minutes487275$0
99213Established patient office or other outpatient visit, 20-29 minutes335230$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit250250$0
G0008Administration of influenza virus vaccine117117$0
View full utilization report →

Insurance plans in this area (ZIP 72454)

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Provider's Procedures

GREGORY WAYNE MALLARD (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR83036Hemoglobin A1C level5143
FAMILY MEDICINEAR85610Blood test, clotting time25230

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991889081View full group profile
NameSpecialtyState
N E U R O L O G YMD
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Vascular Surgery, General SurgeryVA
-MD
-VA
N E U R O S U R G E R YMD
Nurse PractitionerVA
Nurse PractitionerMD
-MD

Reviews

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Frequently asked questions

What is the standard ID for GREGORY WAYNE MALLARD (M.D.) in the U.S.?
In the U.S., GREGORY WAYNE MALLARD (M.D.) is identified by NPI 1235146846.
Is GREGORY WAYNE MALLARD (M.D.)'s NPI status active today?
Active status means GREGORY WAYNE MALLARD (M.D.)'s NPI record is not deactivated in the public file.
What type of care does GREGORY WAYNE MALLARD (M.D.) provide?
GREGORY WAYNE MALLARD (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to GREGORY WAYNE MALLARD (M.D.)?
The directory associates GREGORY WAYNE MALLARD (M.D.) with Piggott, Arkansas. Check all listed addresses for suites or satellite offices.
Why is information missing for GREGORY WAYNE MALLARD (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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