Mallory De Boom PA
About this NPIWhat this record shows.
NPI 1801540646 is registered to Mallory De Boom PA, a Physician Assistant practising at 2004 Exeter Rd in Germantown, Tennessee. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mallory De Boom PA has been enumerated in the National Provider Identifier (NPI) registry since 2022.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1191302TN· Issued by NCCPA CERTIFICATION
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20220404001802Physician AssistantTN
- I20260206001864Physician AssistantMN
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mallory De Boom PA accepts. To confirm in-network status with your specific health plan, contact Mallory De Boom PA directly at (901) 664-2111.
Frequently asked
Yes. NPI 1801540646 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (901) 664-2111.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mallory De Boom PA is a Type-1 individual NPI.