JACQUELYN OVIDA WHEATLEY-MALONE ANP
NPI 1366590408
Nurse Practitioner - Family in Gainesville, GA
About Jacquelyn Ovida Wheatley-malone Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN OVIDA WHEATLEY-MALONE ANP (NPI 1366590408) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN314815) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hialeah.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Ovida Wheatley-malone Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Wheatley-malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
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 Jacquelyn Wheatley-malone's NPI number?
The NPI number for Jacquelyn Wheatley-malone is 1366590408. It was assigned to this individual provider in the NPPES registry on January 8, 2007. The provider is also known as Jacquelyn O Wheatley.
Where is Jacquelyn Wheatley-malone located?
Jacquelyn Wheatley-malone practices at 200 S Enota Dr NE Ste 200, Gainesville, GA 30501. The listed phone number is (770) 534-2020.
What is Jacquelyn Wheatley-malone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacquelyn Wheatley-malone enrolled in Medicare?
Yes. Jacquelyn Wheatley-malone is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyn Wheatley-malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Wheatley-malone reassigns Medicare benefits to Northside Cardiovascular Professional Services, LLC (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Wheatley-malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Wheatley-malone accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jacquelyn Wheatley-malone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacquelyn Wheatley-malone was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacquelyn Ovida Wheatley-Malone, ANP · NPI 1366590408
Family physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1366590408 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN314815 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 S ENOTA DR NE STE 200, Gainesville, GA 30501-3466
- **Phone:** (770) 534-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Cardiovascular Professional Services, LLC (NPI 1518979921, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366590408) · Data from the CMS NPPES public registry.