Dawn C. Malcom, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09749 Issued in LA

Practice address

106 Avenue B
Suite B
Bogalusa, LA 70427

Phone

(985) 730-6950

Fax

(985) 545-1036

NPI assigned

Mar 1, 2018

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Lady of the Angels Hospital IncGroup PAC ID 7012144322, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmalcom5165248@direct.casso.us.com

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

• Our Lady of the Angels Hospital, Inc.

  dba FMOL Health Our Lady of the Angels

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1912334533

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943
  Medicare reassignment
• Wash-St Tammany Reg Medical Center

  dba Bogalusa Medical Center

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1508809088

  Nurse Practitioner

  NPD
• Our Lady of the Lake Physician Group LLC

  dba OLOL Physician Surgical Specialty

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455

  Nurse Practitioner

  NPD (past)
• Washington St. Tammany Regional Medical Center

  • Pharmacy
  • Bogalusa, LA
  • NPI 1801801436
  NPD (past)

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

• Our Lady of the Angels Hospital, Inc.

  dba FMOL Health Our Lady of the Angels

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1093140600
  Care Compare affiliation

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1215439690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-6950",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 AVENUE B",
            "address_2": "SUITE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-730-6950",
            "fax_number": "985-545-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2647 S Saint Elizabeth Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375020",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79630 Highway LA 21",
            "address_purpose": "LOCATION",
            "city": "Bush",
            "state": "LA",
            "postal_code": "70431",
            "country_code": "US",
            "telephone_number": "985-730-2252",
            "fax_number": "985-730-2258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 Sixth Ave",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394663802",
            "country_code": "US",
            "telephone_number": "601-798-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "DAWN",
        "middle_name": "C.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmalcom5165248@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dmalcom5165248@direct.casso.us.com",
            "address_1": "106 Avenue B",
            "address_2": "Suite B",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "106 Avenue B",
            "address_2": "Suite B",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Marie Lutz, DO
• Matthew Lamar Lyle, CRNA
• Kathryn Michele Lyons, MN, RN
• Juliette Nicole Magee
• Tysha Montez Magee
• Jessica Oalmann Manchester, APRN-CNP
• Milton Mansfield
• Madeleine Leefe Maras, MD
• Marillac Community Health Centers (DePaul Community Health Centers - Bogalusa)
• Jaleesha Martin

• Family Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.