MALLORY DICKARD
NPI 1588070643
Speech-Language Pathologist in Ridgeland, MS
About Mallory Dickard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY DICKARD (NPI 1588070643) is an individual speech-language pathologist provider in Ridgeland, Mississippi, licensed in Mississippi (S3872) and active in the NPI registry since July 2014.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mallory Dickard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Dickard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGELAND, MS 39157
RIDGELAND, MS 39157
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mallory Dickard's NPI number?
The NPI number for Mallory Dickard is 1588070643. It was assigned to this individual provider in the NPPES registry on July 9, 2014. The provider is also known as Mrs. Mallory Upchurch.
Where is Mallory Dickard located?
Mallory Dickard practices at 207 W Jackson St Suite 2, Ridgeland, MS 39157. The listed phone number is (601) 362-0859.
What is Mallory Dickard's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Mallory Dickard enrolled in Medicare?
Yes. Mallory Dickard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Dickard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Dickard reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Dickard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Dickard accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Mallory Dickard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mallory Dickard was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mallory Dickard · NPI 1588070643
Speech-Language Pathologist provider in Ridgeland, Mississippi. Individual provider, active in the CMS NPPES registry since July 9, 2014.
## Identity
- **NPI:** 1588070643 (Entity type: Individual)
- **Enumerated:** July 9, 2014
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** S3872 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 207 W JACKSON ST, SUITE 2, Ridgeland, MS 39157-2355
- **Phone:** (601) 362-0859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1588070643) · Data from the CMS NPPES public registry.