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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONMELIAH MALLORY
NPI 1639712896
Social Worker - Clinical in St Johns, FL

Active since October 21, 2019PECOS Enrolled
106 REN WAY, ST JOHNS, FL 32259(904) 325-4260 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Nov 16, 2023, Oct 24, 2023 and 2 more (5 updates tracked since 2019).

About Jonmeliah Mallory NPPES

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

JONMELIAH MALLORY (NPI 1639712896) is an individual clinical provider in St Johns, Florida, licensed in Virginia (0904017115) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639712896
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJONMELIAH MALLORY
Location Address106 REN WAYSt Johns, FL 32259-9407
Mailing Address23 Rybar LnPalm Coast, FL 32164-6445 · (904) 325-4260
Phone(904) 325-4260
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 21, 2019
Last NPPES UpdateOctober 6, 20265 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1639712896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904017115✔ Licensed in SC · TLS1030CP✔ Licensed in CO · CSW.09932419✔ Licensed in FL · SW22218
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
106 REN WAY, St Johns, FL 32259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonmeliah Mallory is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446794671
PECOS Enrollment IDI20251025000641
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonmeliah Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
305 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, District of Columbia and Florida enrollments
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 32259 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
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jonmeliah Mallory's NPI number?

The NPI number for Jonmeliah Mallory is 1639712896. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Jonmeliah Mallory located?

Jonmeliah Mallory practices at 106 Ren Way, St Johns, FL 32259. The listed phone number is (904) 325-4260.

What is Jonmeliah Mallory's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jonmeliah Mallory enrolled in Medicare?

Yes. Jonmeliah Mallory is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonmeliah Mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonmeliah Mallory reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Jonmeliah Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonmeliah Mallory accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 3 other insurers list Jonmeliah Mallory 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 Jonmeliah Mallory was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.