Individual provider Active NPI

Mallory Lynn McGroarty, AGNP

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1447893565
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP142654 Issued in TX
Practice address
3500 Oak Lawn Ave Ste 760
Dallas, TX 75219-4308
Phone
(972) 646-8346
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP142654 TX Primary

Addresses

Primary practice location

3500 Oak Lawn Ave Ste 760
Dallas, TX 75219-4308

Mailing address

7108 Hillgreen Dr
Dallas, TX 75214-1932

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
I20250331002996 TX Practitioner - Nurse Practitioner 7416470406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians

Practice addresses (Care Compare)

12228 N Central Expy
Suite 410
Dallas, TX 75243-3797
Phone (972) 566-5255

Hospital & facility affiliations

  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142654TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Endovascular, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Texas Joint Institute, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3500 Oak Lawn Ave
Ste 760
Dallas, TX 75219
Phone (972) 646-8346

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Ste C135
Dallas, TX 75230
Phone (972) 566-5051

12228 N Central Expy
Ste 410
Dallas, TX 75243
Phone (214) 265-5050

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

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 3

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1447893565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 HILLGREEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752141932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 760",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194308",
            "telephone_number": "972-646-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGROARTY",
        "first_name": "MALLORY",
        "middle_name": "LYNN",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP142654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.