Individual Healthcare Provider
Mallory Stephens Tatum, P.A.
Provider's NPPES record last updated: March 26, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1467978403
- Primary Specialty
- Physician Assistant
- Practice Location
- Lakeland, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 6:40 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (Tennessee)
- 3352
Practice Locations
Practice Location
9160 Highway 64 Ste 105
Lakeland, Tennessee 38002-3011
Phone: (901) 213-0100
Additional Practice Location
100 Baptist Memorial Cir Ste 200
Oxford, Mississippi 38655-4476
Phone: (662) 513-3246
Additional Practice Location
401 Southcrest Cir Ste 201
Southaven, Mississippi 38671-6721
Phone: (901) 226-0456
Additional Practice Location
6029 Walnut Grove Rd Ste 305
Memphis, Tennessee 38120-2155
Phone: (901) 226-0533
Additional Practice Location
7736 Airways Blvd
Southaven, Mississippi 38671-5306
Phone: (662) 772-5222
Additional Practice Location
255 Baptist Blvd Ste 401
Columbus, Mississippi 39705-2006
Phone: (662) 244-2288
Additional Practice Location
2301 S Lamar Blvd Ste 140
Oxford, Mississippi 38655-5373
Phone: (662) 513-3246
Additional Practice Location
2550 Parr Ave
Dyersburg, Tennessee 38024-2033
Phone: (731) 325-5678
Additional Practice Location
7600 Wolf River Blvd
Ste 200
Germantown, Tennessee 38138
Phone: (901) 747-1000
Fax: (901) 747-1001
Additional Practice Location
2550 Parr Ave
Dyersburg, Tennessee 38024-2033
Phone: (731) 325-5678
Additional Practice Location
9160 Highway 64 Ste 105
Lakeland, Tennessee 38002-3011
Phone: (901) 213-0100
Record Information
- Enumeration Date
- August 22, 2017
- Provider's NPPES Record Last Updated
- March 26, 2020
- Certification Date
- March 26, 2020
- NPISignal NPPES Dataset
- August 2026
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