Justin Marshall Malcom, MSN, NP-C | |
3400 Riverside Dr, Macon, GA 31210-2513 | |
(478) 633-6644 | |
(478) 633-4295 |
Full Name | Justin Marshall Malcom |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3400 Riverside Dr, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205321320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 230579 (Georgia) | Primary |
Entity Name | The Medical Center Of Central Georgia Inc. |
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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 | |
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: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076 | |
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 | |
Ms. Mirela Danaj, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201 Phone: 478-633-7550 |