MALORIE DEVAUGHN (ACNPC-AG) – Acute Care Nurse Practitioner, NPI 1174070684

MALORIE DEVAUGHN (ACNPC-AG) is a healthcare provider. based in Corinth, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNPC-AG. They hold a License No. 901724 (MS). The NPI Number for MALORIE DEVAUGHN (ACNPC-AG) is 1174070684

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MALORIE DEVAUGHN (ACNPC-AG)
NPI
1174070684
Phone
(662) 293-1000
Address
611 ALCORN DR
Enumeration Date
1 September 2016
Last Update Date
1 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6624324106
Graduation Year
2016 (10 years ago)
PAC ID
3375821457
Group Practice PAC ID
8325573074
Professional Enrollment ID
I20161024002612
Address ID
MS397592163ST400XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,586 NURSE PRACTITIONER in MS

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Provider Addresses for MALORIE DEVAUGHN (ACNPC-AG)

  • Corinth, Alcorn County, Mississippi, United States

    CORINTH, MS 388349321

    Phone: (662) 293-1000

    Fax: (662) 293-4323

    Type: Location

  • BOX, Sokratous Koliatsou, Corinth Community, Municipal Unit of Corinth, Municipality of Corinth, Corinthia Regional Unit, Peloponnese Region, Peloponnese, Western Greece and the Ionian, 20131, Greece

    CORINTH, MS 388352040

    Phone: (662) 293-1000

    Fax: (662) 293-4323

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-10-24

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161024002612INurse PractitionerMSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6059$0
99291Critical care, first 30-74 minutes5049$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4645$0
View full utilization report →

Insurance plans in this area (ZIP 38834)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325573074View full group profile
NameSpecialtyState
Nurse PractitionerMS
Internal MedicineMS
Physician AssistantMS
Internal MedicineMS
Nurse PractitionerTN
H O S P I T A L I S TGA
Nurse PractitionerMS

Reviews

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Frequently asked questions

How is MALORIE DEVAUGHN (ACNPC-AG) identified in CMS data?
CMS-hosted NPPES data lists MALORIE DEVAUGHN (ACNPC-AG) with NPI 1174070684.
Does the file indicate MALORIE DEVAUGHN (ACNPC-AG) is practicing under active NPI?
Directory data currently reports MALORIE DEVAUGHN (ACNPC-AG) as active.
What healthcare role does MALORIE DEVAUGHN (ACNPC-AG) hold?
Scheduling teams often label MALORIE DEVAUGHN (ACNPC-AG) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MALORIE DEVAUGHN (ACNPC-AG) based?
MALORIE DEVAUGHN (ACNPC-AG) is tied to Corinth, Mississippi in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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