JACQUELINE A. MALLOY ARNP
NPI 1861445447
Nurse Practitioner - Family in Blue Ridge, GA

Active since May 18, 2006PECOS Enrolled
101 RIVERSTONE VIS, BLUE RIDGE, GA 30513(706) 258-4400(706) 632-3585 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline A. Malloy Arnp NPPES

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

JACQUELINE A. MALLOY ARNP (NPI 1861445447) is an individual family provider in Blue Ridge, Georgia, licensed in Georgia (ARNP 103102) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861445447
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE A. MALLOYCredential: ARNP
Location Address101 RIVERSTONE VISBlue Ridge, GA 30513-6648
Mailing Address804 Waterford Estates MnrCanton, GA 30114-9422 · (770) 704-1995 · Fax (706) 632-3585
Fax(706) 632-3585
Sole ProprietorYes
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1861445447 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 · ARNP 103102
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP 9164727 (FL), 80435 (NM), 1159783 (TX)
101 RIVERSTONE VIS, Blue Ridge, GA 30513

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline A. Malloy Arnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacqueline Malloy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1000 JOHNSON FERRY RD
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
General Practice
6504 NANCY ELLEN ST
Amarillo, TX 79119
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
Hospice and Palliative Medicine
10309 AVENIDA VISTA CERROS NW
Albuquerque, NM 87114
  • Reassigned Medicare billing, Florida and New Mexico enrollments

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30513 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$60.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
101 RIVERSTONE VIS, SUITE 217
BLUE RIDGE, GA 30513
Social Worker (Clinical)
101 RIVERSTONE VIS, SUITE 101
BLUE RIDGE, GA 30513
Clinic/Center (Urgent Care)
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
Internal Medicine
101 RIVERSTONE VIS, SUITE 207
BLUE RIDGE, GA 30513
Clinic/Center (Radiology)
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
Clinic/Center (Urgent Care)
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
Physician Assistant (Medical)
101 RIVERSTONE VIS, SUITE 111
BLUE RIDGE, GA 30513
Counselor (Professional)
101 RIVERSTONE VIS, SUITE 201 A
BLUE RIDGE, GA 30513

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 Jacqueline Malloy's NPI number?

The NPI number for Jacqueline Malloy is 1861445447. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Jacqueline Malloy located?

Jacqueline Malloy practices at 101 Riverstone Vis, Blue Ridge, GA 30513. The listed phone number is (706) 258-4400.

What is Jacqueline Malloy's specialty?

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

Is Jacqueline Malloy enrolled in Medicare?

Yes. Jacqueline Malloy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Malloy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Malloy reassigns Medicare benefits to 3 organizations: Northside Emergency Associates, LLC (Sandy Springs, GA), Spirit Care Of Texas PC (Amarillo, TX) and Choice Health, LLC (Albuquerque, NM). Each 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 Jacqueline Malloy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Malloy accept?

Health plans from Oscar Health and Oscar Insurance Company list Jacqueline Malloy 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 Jacqueline Malloy was last updated on October 4, 2024. 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.