| Justin Marshall Malcom, MSN, NP-C | |
|
3400 Riverside Dr, Macon, GA 31210-2513 | |
| (478) 633-6644 | |
| (478) 633-4295 |
| Full Name | Justin Marshall Malcom |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 3400 Riverside Dr, Macon, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205321320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 230579 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center, Navicent Health (the) | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Services Of Central Georgia | 9638076730 | 235 |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Entity Name | The Medical Center Of Central Georgia Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831287655 PECOS PAC ID: 3678477445 Enrollment ID: O20040812000902 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Marshall Malcom, MSN, NP-C 3400 Riverside Dr, Macon, GA 31210-2513 Ph: (478) 474-5600 | Justin Marshall Malcom, MSN, NP-C 3400 Riverside Dr, Macon, GA 31210-2513 Ph: (478) 633-6644 |
Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932 | |
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345 | |
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191 | |
Linda Denice Farrow, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Heath Pl Rd, Macon, GA 31220 Phone: 478-765-2010 | |
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 | |
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Hardeman Ave Ste B, Macon, GA 31201 Phone: 478-741-7337 | |
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092 |