Individual provider Active NPI

Mallory Michelle Taylor, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1003312828
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11946 Issued in TX
Practice address
8196 Walnut Hill LN Ste 100
Dallas, TX 75231-7001
Phone
(214) 739-4175
Fax
(214) 346-3541
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X PA11946 TX Primary

Addresses

Primary practice location

8196 Walnut Hill LN Ste 100
Dallas, TX 75231-7001

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

7777 Forest Ln Ste 110
Dallas, TX 75230-2571
Phone (972) 566-7031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515002795 TX Practitioner - Physician Assistant 8123382348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

8196 Walnut Hill LN
Suite 100
Dallas, TX 75231-7001
Phone (214) 739-4175

9301 N Central Expy
Dallas, TX 75231-0805
Phone (214) 220-2468

9301 N Central Expy
Suite 451
Dallas, TX 75231-0832
Phone (214) 220-2468

Hospital & facility affiliations

  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Ortholonestar, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

9301 N Central Expy
Ste 400500
Dallas, TX 75231

9301 N Central Expy
Ste 400
Dallas, TX 75231

9301 N Central Expy
Ste 500
Dallas, TX 75231

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

Interoperability endpoints

  • Direct secure messaging: mallory.taylor.1@15533.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1003312828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 WALNUT HILL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317001",
            "telephone_number": "214-739-4175",
            "fax_number": "214-346-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "972-566-7031",
            "fax_number": "972-566-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MALLORY",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.