REBECCA KING-MALLORY (M.D.) – Adult Medicine Physician, NPI 1417306432

REBECCA KING-MALLORY (M.D.) is a healthcare provider. based in Dublin, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MMD.39759 LL (SC). The NPI Number for REBECCA KING-MALLORY (M.D.) is 1417306432

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA KING-MALLORY (M.D.)
NPI
1417306432
Phone
(843) 697-7715
Address
5826 Ruebush Rd
Enumeration Date
9 June 2016
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403810820
Graduation Year
2016 (10 years ago)
PAC ID
7416206511
Group Practice PAC ID
5294963666
Professional Enrollment ID
I20191204000727
Address ID
VA240733025CH215XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for REBECCA KING-MALLORY (M.D.)

  • 5826 Ruebush Rd

    Dublin, VA 24084

    Phone: (843) 697-7715

    Type: Location

  • 9228 Medical Plaza Dr

    Charleston, SC 294069125

    Phone: (843) 572-8277

    Type: Location

  • 5826 RUEBUSH RD

    DUBLIN, VA 240842252

    Phone: (843) 697-7715

    Type: Mailing

  • 2000 HEALTH PARK DR FL HP2

    BRENTWOOD, TN 370274692

    Phone: (615) 373-7600

    Fax: (866) 346-1426

    Type: Mailing

  • 3700 S MAIN ST STE 1A

    BLACKSBURG, VA 240607017

    Phone: (540) 443-7180

    Fax: (540) 443-3725

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Abbott Laboratories ($143).

Total Amount

$173

General + Research + Ownership

Payments

3

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-04

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
I20191204000727IFamily 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12952$0
99239Hospital discharge day management, more than 30 minutes4544$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3332$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3223$0
83036Hemoglobin a1c level2613$0
View full utilization report →

Insurance plans in this area (ZIP 24084)

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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: 5294963666View full group profile
NameSpecialtyState
General SurgeryVA
Nurse PractitionerVA
Nurse PractitionerWV
-VA
Family PracticeVA
Mental Health CounselorVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Physician AssistantVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

How do I look up REBECCA KING-MALLORY (M.D.) by NPI?
Use NPI 1417306432 when you need to reference REBECCA KING-MALLORY (M.D.) in forms, claims, or directories.
Does this profile mean REBECCA KING-MALLORY (M.D.) is currently active?
Yes — REBECCA KING-MALLORY (M.D.) appears active in the national provider directory.
What field does REBECCA KING-MALLORY (M.D.) work in?
You can think of REBECCA KING-MALLORY (M.D.) as practicing within Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Does REBECCA KING-MALLORY (M.D.) practice in Virginia?
You will see Dublin, Virginia on file for REBECCA KING-MALLORY (M.D.) alongside any extra practice locations.
How can I contact REBECCA KING-MALLORY (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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