Individual provider Active NPI

Justin Geoffrey Malais, NP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Nashville, TN
National Provider Identifier
1619687415
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
32479 Issued in TN
Practice address
1818 Albion St
Nashville, TN 37208-2918
Phone
(615) 341-4000
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 32479 TN Primary

Addresses

Primary practice location

1818 Albion St
Nashville, TN 37208-2918

Mailing address

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dennis MD PLLC CurrentSince Jul 4, 2023 Accepting new patients

Locations

200 W Martin Luther King Blvd
Ste 1000
Chattanooga, TN 37402
Phone (423) 269-2255

2084 W Main St
Milan, TN 38358
Phone (731) 686-8321

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1619687415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 ALBION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082918",
            "telephone_number": "615-341-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 ALBION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082918",
            "telephone_number": "615-341-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAIS",
        "first_name": "JUSTIN",
        "middle_name": "GEOFFREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.