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MRS. MALLORY LYNN O'BRIEN FNP-C
NPI 1639311178
Nurse Practitioner - Family in Douglas, GA

Active since March 30, 2009PECOS Enrolled
101 BOWENS MILL RD STE H, DOUGLAS, GA 31533(912) 384-3838(912) 384-8847 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2023, Jan 3, 2017, Oct 20, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Mallory Lynn O'brien Fnp-c NPPES

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

MRS. MALLORY LYNN O'BRIEN FNP-C (NPI 1639311178) is an individual family provider in Douglas, Georgia, licensed in Georgia (RN233586) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639311178
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MALLORY LYNN O'BRIENCredential: FNP-C
Location Address101 BOWENS MILL RD STE HDouglas, GA 31533-2252
Mailing Address101 Bowens Mill Rd Ste HDouglas, GA 31533-2252 · (912) 384-3838 · Fax (912) 384-8847
Phone(912) 384-3838
Fax(912) 384-8847
Sole ProprietorYes
Enumeration DateMarch 30, 2009
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1639311178 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 · RN233586
101 BOWENS MILL RD STE H, Douglas, GA 31533
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mallory Lynn O'brien Fnp-c 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 31533 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 13

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$111.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims42 services$44.74 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier11 claims66 services$19.03 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$74.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers17 claims17 services$22.16 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers26 claims26 services$21.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mallory O'brien's NPI number?

The NPI number for Mallory O'brien is 1639311178. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Mallory O'brien located?

Mallory O'brien practices at 101 Bowens Mill Rd Ste H, Douglas, GA 31533. The listed phone number is (912) 384-3838.

What is Mallory O'brien's specialty?

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

Is Mallory O'brien enrolled in Medicare?

Yes. Mallory O'brien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory O'brien was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.