Doctor profile · Federal record

Dr. Mallory Bellissimo, PA-C

Physician Assistant · Physician Assistant · Atlanta, GA

  • NPI 1255640074
  • 16 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3617 Roswell RD Ne
Atlanta, GA 303051111
(404) 996-0196
fax (404) 467-2489
Mailing address
961 Adair Ave Ne
Atlanta, GA 303063809

Credentials & registration

NPPES · NUCC
NPI registered
September 2010 — 16 yrs on file
Profile last updated
November 7, 2023
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Georgia #10513 · Washington #PA60385985

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255640074. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
98
Distinct HCPCS
5
Medicare allowed
$7,679
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 33 33 $76
99203 New patient office or other outpatient visit, 30-44 minutes 21 21 $95
99214 Established patient office or other outpatient visit, 30-39 minutes 17 17 $107
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 14 14 $50
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 13 13 $50

In context: peer comparison

Among 213 peers in this city , average services per provider: 76. This provider delivers 1.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
25
Patients
25
Total drug cost
$143
Drug Type Claims Patients Total cost
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 14 14 $124
Prednisone Generic 11 11 $19

Frequently asked questions

Auto-generated from federal data
What is Dr. Mallory Bellissimo's medical specialty?
Dr. Mallory Bellissimo practices Physician Assistant in Atlanta, GA.
Where does Dr. Mallory Bellissimo practice?
Dr. Mallory Bellissimo practices at 3617 Roswell RD Ne, Atlanta, GA 303051111. Office phone: 4049960196.
What is Dr. Mallory Bellissimo's NPI?
Dr. Mallory Bellissimo's National Provider Identifier (NPI) is 1255640074, issued by NPPES.
What procedures does Dr. Mallory Bellissimo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.