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AMELIA RUTH MALCOM APRN
NPI 1376822965
Nurse Practitioner - Family in Madison, GA

Active since August 12, 2011PECOS Enrolled
1075 S MAIN ST, SUITE 100, MADISON, GA 30650(706) 752-0322(706) 752-0325 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amelia Ruth Malcom Aprn NPPES

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

AMELIA RUTH MALCOM APRN (NPI 1376822965) is an individual family provider in Madison, Georgia, licensed in Georgia (171386) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376822965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMELIA RUTH MALCOMCredential: APRN
Location Address1075 S MAIN ST, SUITE 100Madison, GA 30650-2033
Mailing AddressPo Box 209Madison, GA 30650-0209 · (706) 752-0322 · Fax (706) 752-0325
Phone(706) 752-0322
Fax(706) 752-0325
Sole ProprietorNo
Enumeration DateAugust 12, 2011
✔ NPI 1376822965 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 · 171386
1075 S MAIN ST, Madison, GA 30650
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Ruth Malcom Aprn 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 30650 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.

Other Providers at the Same Location NPPES 6

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

EDUARDO M COSSIO MDPC
Internal Medicine
1075 S MAIN ST, STE 300
MADISON, GA 30650
Morgan County (706) 342-0449
MARSHALL B CLACK, II II
Contractor
1075 S MAIN ST, ST 100
MADISON, GA 30650
Morgan County (706) 752-0322
DR. EDUARDO M COSSIO MD
Internal Medicine
1075 S MAIN ST, STE 300
MADISON, GA 30650
Morgan County (706) 342-0449
MIGUEL EDUARDO COSSIO M.D.
Internal Medicine
1075 S MAIN ST, SUITE 400
MADISON, GA 30650
Morgan County (706) 342-9664
MIGUEL E. COSSIO M.D., P.C.
Internal Medicine
1075 S MAIN ST
MADISON, GA 30650
Morgan County (706) 342-9664
MEDICAL OUTREACH SERVICES OF MADISON PC
Internal Medicine
1075 S MAIN ST, SUITE 400
MADISON, GA 30650
Morgan County (706) 342-9664

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 Amelia Malcom's NPI number?

The NPI number for Amelia Malcom is 1376822965. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Amelia Malcom located?

Amelia Malcom practices at 1075 S Main St Suite 100, Madison, GA 30650. The listed phone number is (706) 752-0322.

What is Amelia Malcom's specialty?

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

Is Amelia Malcom enrolled in Medicare?

Yes. Amelia Malcom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amelia Malcom was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.