Individual provider Active NPI

Shannon E Malone, MD

  • Specialist
  • Memphis, TN
National Provider Identifier
1659586113
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD47124 Issued in TN
Practice address
756 Ridge Lake Blvd Ste 228
Memphis, TN 38120-9445
Phone
(901) 522-6910
Fax
(901) 522-6911
NPI assigned
May 10, 2007
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Specialist 174400000X MD47124 TN Primary

Addresses

Primary practice location

756 Ridge Lake Blvd Ste 228
Memphis, TN 38120-9445

Mailing address

756 Ridge Lake Blvd Ste 228
Memphis, TN 38120-9445
Phone (901) 522-6910

Other practice location 1

6215 Humphreys Blvd.,
Ste 100
Memphis, TN 38120-0000
Phone (901) 747-1200

Other practice location 2

8110 N Brother Blvd
Bartlett, TN 38133-2760
Phone (901) 255-5221

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000675 TN Practitioner - Obstetrics/Gynecology 6901073477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2382
Phone (901) 682-9222

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD47124TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Care Center of Memphis,Mpllc Specialist CurrentSince Dec 12, 2011 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Memphis Obstetrics and Gynecological Association PC CurrentSince Apr 1, 2025 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Sep 1, 2015 Accepting new patients
Womens Health Specialists, PLLC Current Accepting new patients
Women's Care Center of Memphis, Mpllc CurrentSince Dec 12, 2011 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1727 Kirby Pkwy
Ste 200
Memphis, TN 38120
Phone (901) 507-1029

6215 Humphreys Blvd
Ste 100
Memphis, TN 38120
Phone (901) 747-1200

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

6215 Humphreys Blvd
Ste 500
Memphis, TN 38120
Phone (901) 628-0630

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

756 Ridge Lake Blvd
Ste 228
Memphis, TN 38120
Phone (901) 522-6910

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

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD
  • Direct secure messaging: shannon.malone.1@16415.direct.athenahealth.com
  • Direct secure messaging: smalone33414@mlh.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1659586113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 RIDGE LAKE BLVD STE 228",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209445",
            "telephone_number": "901-522-6910",
            "fax_number": "901-522-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 RIDGE LAKE BLVD STE 228",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209445",
            "telephone_number": "901-522-6910",
            "fax_number": "901-522-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 Humphreys Blvd.,",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381200000",
            "country_code": "US",
            "telephone_number": "901-747-1200",
            "fax_number": "901-747-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 N Brother Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381332760",
            "country_code": "US",
            "telephone_number": "901-255-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "SHANNON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD47124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.