Active NPI
Jana M. Mallder, CRNP
- Family Nurse Practitioner
- Pageland, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28192
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5023986 | NC | MD | Family Nurse Practitioner |
| 28192 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Lowcountry Urgent Care LLC | Current | Accepting new patients | |
| Stopwatch Urgent Care Centers LLC | Current | 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.
-
- Primary Care Nurse Practitioner
- Beaufort, SC
- NPI 1326364100
-
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Urgent Care Clinic/Center
- Centre, AL
- NPI 1932586476
-
- Urgent Care Clinic/Center
- Auburn, AL
- NPI 1841506458
-
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.