Mallory Nicole Moore, SLP
NPI 1336580950ActiveIndividual· Speech-Language Pathologist· Clemson, SC
Speech-Language Pathologist (SLP) with Prisma Health University Medical Group, practicing in Clemson, South Carolina. Medicare paid $35,168 for services to 44 patients in 2024.
Overview
| NPI | 1336580950 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SLP |
| Sole proprietor | No |
| NPI issued | Jul 11, 2013 |
| Last updated in NPPES | Jun 10, 2020 |
| Certified by provider | Jun 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 7188 | SC |
| Speech-Language Pathologist | 235Z00000X | 9698 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 607 across 8 procedure codes |
| Paid by Medicare | $35,168 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Prisma Health University Medical GroupGreenville, SC · 2,493 clinicians
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All Speech-Language Pathologist providers in South Carolina →