DEBBIE MALLOY LLC
NPI 1417410168
Counselor - Professional in Carrollton, GA
About Debbie Malloy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBBIE MALLOY LLC (NPI 1417410168) is a healthcare organization registered as a professional in Carrollton, Georgia and active in the NPI registry since April 2019. The organization lists Lynette Clark, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Debbie Malloy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Debbie Malloy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Debbie Malloy LLC's NPI number?
The NPI number for Debbie Malloy LLC is 1417410168. It was assigned to this organization in the NPPES registry on April 10, 2019.
Where is Debbie Malloy LLC located?
Debbie Malloy LLC is located at 809 S Park St Ste 2, Carrollton, GA 30117. The listed phone number is (678) 390-4218.
What is Debbie Malloy LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Debbie Malloy LLC enrolled in Medicare?
Yes. Debbie Malloy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Debbie Malloy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Debbie Malloy LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Debbie Malloy LLC was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Debbie Malloy Llc · NPI 1417410168
Professional organization in Carrollton, Georgia. Organization record, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1417410168 (Entity type: Organization)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Lynette Clark, CREDENTIALING MANAGER
## Practice location
- **Address:** 809 S PARK ST STE 2, Carrollton, GA 30117-4423
- **Phone:** (678) 390-4218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417410168) · Data from the CMS NPPES public registry.