Alexis M Mallett, MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1401 Highway 62 65 N Ste 220
Harrison, AR 72601-1702

Phone

(870) 741-6418

Fax

(870) 741-5071

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: amallett825070@direct.sw.org

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1013596873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2990",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726022990",
            "telephone_number": "870-741-6418",
            "fax_number": "870-741-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HIGHWAY 62 65 N STE 220",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011702",
            "telephone_number": "870-741-6418",
            "fax_number": "870-741-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E20496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364128001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M & T Ventures LLC (Sam Alexander Pharmacy)
• M & T Ventures LLC (Sam Alexander Pharmacy)
• Ryan Avery Madison, DO
• Stephen R. Maes, M.D.
• Cindy Dawn Magness
• Stephanie L Mallett, APRN
• Josh Felton Maloney, PHARMD
• Meagen Elise Malotte, PTA
• Kellie Manes, APRN
• Peter Anthony Maningas, MD

• Specialist in Harrison, AR
• Providers in Harrison, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.