MRS. MALLORY LYNN O'BRIEN (FNP-C) – Family Nurse Practitioner, NPI 1639311178
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. MALLORY LYNN O'BRIEN (FNP-C)
Bowens Mill Road, Douglas, Coffee County, Georgia, 31534, United States
DOUGLAS, GA 315332252
Phone: (912) 384-3838
Fax: (912) 384-4029
Type: Mailing
101 BOWENS MILL RD STE H
DOUGLAS, GA 315332252
Phone: (912) 384-3838
Fax: (912) 384-8847
Type: Mailing
102 NW Bowens Mill Road
Douglas, GA 315332252
Phone: (912) 384-3838
Fax: (912) 384-4029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,019.
Total Amount is formed as General ($1,019) + Research ($0) + Ownership ($0) = $1,019.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($288).
Total Amount
$1,019
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,019
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $288 |
| Mylan Specialty L.P. | $104 |
| Novo Nordisk Inc | $100 |
| Electromed, Inc. | $66 |
| ABBVIE INC. | $52 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160321001728 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 31533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | GA |
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