MALLORY PEAVY (PT, DPT) – Physical Therapist, NPI 1073387577

MALLORY PEAVY (PT, DPT) is a healthcare provider. based in Toccoa, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT016922 (GA). The NPI Number for MALLORY PEAVY (PT, DPT) is 1073387577

Main info

Female
3 Years Of Experience
Name
MALLORY PEAVY (PT, DPT)
NPI
1073387577
Phone
(706) 886-3883
Address
22 HAYES ST
Enumeration Date
14 November 2023
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068863883
Graduation Year
2023 (3 years ago)
PAC ID
0042651721
Group Practice PAC ID
9133038672
Professional Enrollment ID
I20240513001262
Address ID
GA305772696TO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MALLORY PEAVY (PT, DPT)

  • 22 HAYES ST

    TOCCOA, GA 305772696

    Phone: (706) 886-3883

    Type: Location

  • 305 IDLE PINES DR

    PERRY, GA 310692338

    Phone: (478) 972-8480

    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: 2024-05-13

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
I20240513001262IPhysical Therapist In Private PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30577)

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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: 9133038672View full group profile
NameSpecialtyState
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I verify MALLORY PEAVY (PT, DPT) with an NPI only?
You can start verification with NPI 1073387577 for MALLORY PEAVY (PT, DPT), then check state licensing separately.
Can I rely on MALLORY PEAVY (PT, DPT) being an active provider?
As of the registry snapshot, MALLORY PEAVY (PT, DPT) is marked active.
What is MALLORY PEAVY (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for MALLORY PEAVY (PT, DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect MALLORY PEAVY (PT, DPT) on a map?
Expect Toccoa, Georgia as a primary anchor for MALLORY PEAVY (PT, DPT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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