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MS. JANARRA KATHRYN MALLORY-CRAWFORD MSN, RN, AGPCNP-BC
NPI 1033999495
Nurse Practitioner - Primary Care in Rex, GA

Active since October 03, 2023PECOS Enrolled
6190 PEMBROKE DR, REX, GA 30273(908) 227-5047 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Janarra Kathryn Mallory-crawford Msn, Rn, Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JANARRA KATHRYN MALLORY-CRAWFORD MSN, RN, AGPCNP-BC (NPI 1033999495) is an individual primary care provider in Rex, Georgia, licensed in Georgia (RN223664) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033999495
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. JANARRA KATHRYN MALLORY-CRAWFORDCredential: MSN, RN, AGPCNP-BC
Location Address6190 PEMBROKE DRRex, GA 30273-1244
Mailing Address6190 Pembroke DrRex, GA 30273-1244 · (908) 227-5047
Phone(908) 227-5047
Sole ProprietorNo
Enumeration DateOctober 3, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1033999495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN223664
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN223664 (GA)
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License RN223664 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN223664 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN223664 (GA)
6190 PEMBROKE DR, Rex, GA 30273
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Janarra Kathryn Mallory-crawford Msn, Rn, Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Janarra Mallory-crawford's NPI number?

The NPI number for Janarra Mallory-crawford is 1033999495. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Janarra Mallory-crawford located?

Janarra Mallory-crawford practices at 6190 Pembroke Dr, Rex, GA 30273. The listed phone number is (908) 227-5047.

What is Janarra Mallory-crawford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Janarra Mallory-crawford enrolled in Medicare?

Yes. Janarra Mallory-crawford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Janarra Mallory-crawford was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.