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Mallory Mahala Record , MS, CCC-SLP

Speech-Language Pathologist β€’ Jackson, TN

Active NPI 1386161230 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

65 Ridgecrest Rd
Jackson, TN 38305

Call 7316686076 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

65 Ridgecrest Rd

Jackson, TN 38305

Telephone 7316686076
Organization at the Same NPPES Address or Phone
West Tennessee Hearing & Speech Center, Inc Facility NPI 1194904342

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: West Tennessee Hearing And Speech Center, Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mallory Record has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Jackson and Tennessee

49 active clinicians are listed under Speech-Language Pathologist with a practice address in Jackson, TN (3,731 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 49 clinicians have the CMS telehealth indicator.

10.2% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TN 5894

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20201118000184

Enrollment State Jurisdiction

TN

PECOS Control ID

6901217231

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

West Tennessee Hearing And Speech Center, Inc

213 E Lafayette St, Jackson, TN 383016217

Phone: 7315541033

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1548991714

Doctor of Audiology

NPI 1093165714

Doctor of Audiology

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 05, 2018

Registered at 65 RIDGECREST RD, JACKSON, TN 38305 (Tel: 7316686076)

πŸ“
Updated Business Mailing Address June 05, 2018

Registered at 65 RIDGECREST RD, JACKSON, TN 383052359 (Tel: 7316686076)

βœ…
NPI Profile Active August 22, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2017

Registered at 2018 EXETER ROAD, GERMANTOWN, TN 38138 (Tel: (901) 756-4499)

πŸ“
Business Mailing Address (Initial Record) August 22, 2017

Registered at 2018 EXETER RD, GERMANTOWN, TN 381383945 (Tel: 9017564499)

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2017

Recorded as MALLORY RECORD, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2017

Speech-Language Pathologist (license number reported to NPPES: TN 5894)

🟒
Initial NPI Registration & Enumeration August 22, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386161230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2017
Last Update: June 05, 2018
Sole Proprietor: No

Mailing Address

65 Ridgecrest Rd

Jackson, TN 383052359

Phone: 7316686076

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.