Individual provider Active NPI

Mallory Hope Maddox, PA-C

  • Physician Assistant
  • Lewisville, TX
National Provider Identifier
1841765351
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13196 Issued in TX
Practice address
700 SH 121 Byp
Lewisville, TX 75067-8119
Phone
(972) 745-7500
NPI assigned
Oct 11, 2018
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111377 FL
Physician Assistant 363A00000X PA13196 TX Primary

Addresses

Primary practice location

700 SH 121 Byp
Lewisville, TX 75067-8119

Mailing address

700 SH 121 Byp
Lewisville, TX 75067-8119
Phone (972) 745-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, UT, TN, VA, NV6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20200522000825 FL Practitioner - Physician Assistant 5799106035 Reassigns benefits to 2 organizations
I20220909001932 TX Practitioner - Physician Assistant 5799106035 Reassigns benefits to 2 organizations
I20251027002723 UT Practitioner - Physician Assistant 5799106035 Reassigns benefits to 1 organization
I20260527004140 TN Practitioner - Physician Assistant 5799106035
I20260529002557 VA Practitioner - Physician Assistant 5799106035
I20260529003577 NV Practitioner - Physician Assistant 5799106035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians

Practice addresses (Care Compare)

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980

5550 S US Hwy 1
Fort Pierce, FL 34982-8701
Phone (772) 460-9227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9111377FLMDPhysician Assistant
PA13196TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Urgent Care & Wellness PL CurrentSince Mar 1, 2020 Accepting new patients
Urgent Care Nevada, LLC CurrentSince Jun 17, 2026 Accepting new patients
MD Now Medical Centers Inc CurrentSince Apr 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 15, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 15, 2024 Accepting new patients
Utah Carenow Urgent Care, LLC CurrentSince Aug 12, 2025 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

514 Mary Esther Cut Off NW
Ft Walton Bch, FL 32548
Phone (850) 226-8550

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

10652 S Eastern Ave
Henderson, NV 89052
Phone (702) 476-2040

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

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

19220 S Ih 35
Ste 300
Kyle, TX 78640
Phone (737) 265-3964

441 S Redwood Rd
Slc, UT 84104
Phone (801) 973-2588

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.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1841765351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SH 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678119",
            "telephone_number": "972-745-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SH 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678119",
            "telephone_number": "972-745-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MALLORY",
        "middle_name": "HOPE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111377",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.