Active NPI
Deborah Pauline Malone
- Family Nurse Practitioner
- Austell, GA
National Provider Identifier
1467772848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN173642NP
- Practice address
- 800 E West Connector
Austell, GA 30106-1358 - Phone
- (770) 438-1680
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN173642NP | GA | Primary |
Addresses
Primary practice location
800 E West Connector
Austell, GA 30106-1358
Mailing address
9105 Hanover St
Lithia Springs, GA 30122-6404
Phone (678) 665-9939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN173642NP | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1467772848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 HANOVER ST",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301226404",
"telephone_number": "678-665-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E WEST CONNECTOR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061358",
"telephone_number": "770-438-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "DEBORAH",
"middle_name": "PAULINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN173642NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.