JUSTIN MARSHALL MALCOM MSN, NP-C
NPI 1205321320
Nurse Practitioner - Family in Macon, GA

Q: What is Justin Malcom's NPI number?

The NPI number for Justin Malcom is 1205321320. It was assigned to this individual provider in the NPPES registry on July 1, 2018.

Q: What is Justin Malcom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Malcom was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since July 01, 2018PECOS EnrolledAccepts Medicare Assignment

3400 RIVERSIDE DR, MACON, GA 31210(478) 633-6644(478) 633-4295 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2020, Aug 2, 2018 (2 updates tracked since 2018).

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About Justin Marshall Malcom Msn, Np-c NPPES

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

JUSTIN MARSHALL MALCOM MSN, NP-C (NPI 1205321320) is an individual family provider in Macon, Georgia, licensed in Georgia (230579) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205321320

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJUSTIN MARSHALL MALCOMCredential: MSN, NP-C

Location Address3400 RIVERSIDE DRMacon, GA 31210-2513

Mailing Address3400 Riverside DrMacon, GA 31210-2513 · (478) 474-5600 · Fax (478) 471-6769

Phone(478) 633-6644

Fax(478) 633-4295

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 1, 2018

Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2020

✔ NPI 1205321320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 230579

3400 RIVERSIDE DR, Macon, GA 31210

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Secondary Practice Locations 2

Location 11508 Hardeman AveMacon, GA 31201-1470 · Phone (478) 741-7337

Location 22340 Patrick Henry Pkwy Ste 150McDonough, GA 30253-4326 · Phone (678) 671-3100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Justin Marshall Malcom Msn, Np-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 ID9234460155

PECOS Enrollment IDI20191008001206

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services87 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims18 services$6.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DIPENKUMAR RAMESHCHANDRA PATEL M.D.

Family Medicine