JACQUELYN OVIDA WHEATLEY-MALONE ANP
NPI 1366590408
Nurse Practitioner - Family in Gainesville, GA

Active since January 08, 2007PECOS Enrolled
78.35/100
CMS Quality Rating
200 S ENOTA DR NE STE 200, GAINESVILLE, GA 30501(770) 534-2020 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2023, Dec 2, 2022 (2 updates tracked since 2022).

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

NPI1366590408
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN OVIDA WHEATLEY-MALONECredential: ANP
Location Address200 S ENOTA DR NE STE 200Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1366590408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN314815
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP2606792 (FL)
200 S ENOTA DR NE STE 200, Gainesville, GA 30501

Other Names 1

Former Name (1)Jacquelyn O Wheatley

Secondary Practice Location 1

Location 12001 W 68th StHialeah, FL 33016-1801 · Phone (305) 823-5000 ext. 6458

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelyn Ovida Wheatley-malone Anp 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 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.

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.

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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.17
Promoting Interoperability89
Improvement Activities40
Cost60.82

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.

Nurse Practitioner (Acute Care)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Internal Medicine (Interventional Cardiology)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Internal Medicine (Interventional Cardiology)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Internal Medicine (Interventional Cardiology)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 200
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.

When was this NPI record last updated?

The NPPES record for Jacquelyn Wheatley-malone was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.