Individual provider Active NPI

Mallory McGoff Dixon, DNP FNP-C

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1396224754
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24637 Issued in TN
Practice address
1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone
(901) 755-9110
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24637 TN Primary

Addresses

Primary practice location

1324 Wolf Park Dr
Germantown, TN 38138-1741

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540
Phone (901) 261-6650

Other practice location 2

8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630

Other practice location 3

3350 N Germantown Rd
Bartlett, TN 38133-4026
Phone (901) 377-2111

Other identifiers 1

IdentifierTypeStateIssuer
Q041326MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20181017003615 TN Practitioner - Nurse Practitioner 0042562191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone (901) 755-9110

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903936MSMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC CurrentSince May 7, 2024 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

3350 N Germantown Rd
Bartlett, TN 38133
Phone (901) 377-2111

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1324 Wolf Park Dr
Germantown, TN 38138
Phone (901) 755-9110

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

Organizations & group practices 2

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 7

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1396224754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 WOLF PARK DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381741",
            "telephone_number": "901-755-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Eastmoreland Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047540",
            "country_code": "US",
            "telephone_number": "901-261-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Wolf River Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381755",
            "country_code": "US",
            "telephone_number": "901-747-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 N Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334026",
            "country_code": "US",
            "telephone_number": "901-377-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MALLORY",
        "middle_name": "MCGOFF",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q041326",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.