Individual provider Active NPI

Jana M. Mallder, CRNP

  • Family Nurse Practitioner
  • Pageland, SC
National Provider Identifier
1831526029
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28192 Issued in SC
Practice address
222 S Van Lingle Mungo Blvd
Pageland, SC 29728-1950
Phone
(843) 675-5000
Fax
(843) 675-5003
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5023986 NC
Family Nurse Practitioner 363LF0000X 1-118622 AL
Family Nurse Practitioner 363LF0000X 28192 SC Primary

Addresses

Primary practice location

222 S Van Lingle Mungo Blvd
Pageland, SC 29728-1950

Mailing address

330 Quartz Hill Way
Waxhaw, NC 28173-8041
Phone (334) 494-0593

Other practice location 1

2265 Nc Highway 24 27 E
Biscoe, NC 27209-9758
Phone (910) 828-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181008001442 AL Practitioner - Nurse Practitioner 8426300104 Reassigns benefits to 2 organizations
I20240214003892 SC Practitioner - Nurse Practitioner 8426300104 Reassigns benefits to 1 organization
I20260507001953 NC Practitioner - Nurse Practitioner 8426300104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

182 C Sea Island Pkwy
Beaufort, SC 29907-1503
Phone (843) 322-1933

2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5023986NCMDFamily Nurse Practitioner
28192SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jun 10, 2018 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Rural Urgent Care LLC CurrentSince Jun 10, 2018 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Jan 4, 2024 Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Jul 16, 2022 Accepting new patients

Locations

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

508 E Three Notch St
#100
Andalusia, AL 36420

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059

1212 Highway 231 S
Troy, AL 36081
Phone (334) 635-9104

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

222 S Van Lingle Mungo Blvd
Pageland, SC 29728
Phone (843) 675-5000

Organizations & group practices 5

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1831526029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 QUARTZ HILL WAY",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738041",
            "telephone_number": "334-494-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S VAN LINGLE MUNGO BLVD",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297281950",
            "telephone_number": "843-675-5000",
            "fax_number": "843-675-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Nc Highway 24 27 E",
            "address_purpose": "LOCATION",
            "city": "Biscoe",
            "state": "NC",
            "postal_code": "272099758",
            "country_code": "US",
            "telephone_number": "910-828-1131",
            "fax_number": "910-876-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLDER",
        "first_name": "JANA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023986",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118622",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pageland, SC

Sources for this page

Verify at the official NPI Registry.