JOSSELYNN ELIZABETH MALLARD PA-C
NPI 1053286146
Physician Assistant - Medical in Waycross, GA

Active since October 08, 2025PECOS EnrolledAccepts Medicare Assignment
1706 ALICE ST, WAYCROSS, GA 31501(912) 285-1140(912) 285-1125 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Oct 8, 2025 (2 updates tracked since 2025).

About Josselynn Elizabeth Mallard Pa-c NPPES

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

JOSSELYNN ELIZABETH MALLARD PA-C (NPI 1053286146) is an individual medical provider in Waycross, Georgia and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jesup, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053286146
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJOSSELYNN ELIZABETH MALLARDCredential: PA-C
Location Address1706 ALICE STWaycross, GA 31501-5216
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100 · Fax (813) 321-1296
Fax(912) 285-1125
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 8, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1053286146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1706 ALICE ST, Waycross, GA 31501

Secondary Practice Location 1

Location 1865 S 1st StJesup, GA 31545-0210 · Phone (912) 427-6811

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Josselynn Elizabeth Mallard Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537653274
PECOS Enrollment IDI20251210003349
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1706 ALICE ST
WAYCROSS, GA 31501
Internal Medicine (Hematology & Oncology)
1706 ALICE ST
WAYCROSS, GA 31501
Nurse Practitioner (Family)
1706 ALICE ST
WAYCROSS, GA 31501
Nurse Practitioner (Family)
1706 ALICE ST
WAYCROSS, GA 31501
Internal Medicine (Hematology & Oncology)
1706 ALICE ST
WAYCROSS, GA 31501
Internal Medicine (Hematology & Oncology)
1706 ALICE ST
WAYCROSS, GA 31501
Nurse Practitioner
1706 ALICE ST
WAYCROSS, GA 31501

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 Josselynn Mallard's NPI number?

The NPI number for Josselynn Mallard is 1053286146. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Josselynn Mallard located?

Josselynn Mallard practices at 1706 Alice St, Waycross, GA 31501. The listed phone number is (912) 285-1140.

What is Josselynn Mallard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Josselynn Mallard enrolled in Medicare?

Yes. Josselynn Mallard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Josselynn Mallard was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.