JACQUELINE A. MALLOY (ARNP) – Family Nurse Practitioner, NPI 1861445447
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for JACQUELINE A. MALLOY (ARNP)
804 WATERFORD ESTATES MNR
CANTON, GA 301149422
Phone: (770) 704-1995
Fax: (706) 632-3585
Type: Mailing
Riverstone Pharmacy, 101, Riverstone Vista, Blue Ridge, Fannin County, Georgia, 30513, United States
BLUE RIDGE, GA 305136648
Phone: (706) 258-4400
Fax: (706) 632-3585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-01-08 • Largest payer in this snapshot: BIOCODEX, INC. ($41).
Total Amount
$41
General + Research + Ownership
Payments
1
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOCODEX, INC. | $41 |
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: 2024-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20051107000016 | I | Nurse Practitioner | FL | TBD |
| I20061206000160 | I | Nurse Practitioner | GA | TBD |
| I20241107002239 | I | Nurse Practitioner | NM | TBD |
| I20241119002749 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 56 | 55 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 49 | 49 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 24 | 23 | $0 |
| 99291 | Critical care, first 30-74 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care, Nurse Practitioner | TX | |
| Emergency Medicine | FL | |
| Internal Medicine | GA | |
| Nurse Practitioner | TX |
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