Mallory K. Bellissimo, PA-C
NPI 1255640074ActiveIndividual· Physician Assistant· Atlanta, GA
Physician Assistant (PA-C) in Atlanta, Georgia, licensed in GA and WA, with an NPI issued in September 2010. Mostly services rather than prescriptions: Medicare paid $3,771 for 40 patients in 2024, with only 29 Part D claims.
Overview
| NPI | 1255640074 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 28, 2010 |
| Last updated in NPPES | Nov 7, 2023 |
| Certified by provider | Nov 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10513 | GA |
| Physician Assistant | 363A00000X | PA60385985 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 130 across 26 procedure codes |
| Paid by Medicare | $3,771 |
Part D prescriptions in 2024
| Prescriptions (claims) | 29 · 29 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $1,414 |
| Generic share | 66% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 1,250 physician assistants in Atlanta · All physician assistants in Georgia