Individual provider Active NPI

Jimmy Arturo Malaver-Reyes, M.D.

  • General Practice Physician
  • Saint Marys, GA
National Provider Identifier
1992802342
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
65138 Issued in GA
Practice address
214 Professional Cir Ste a
Saint Marys, GA 31558-3783
Phone
(787) 605-8830
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 65138 GA Primary

Addresses

Primary practice location

214 Professional Cir Ste a
Saint Marys, GA 31558-3783

Mailing address

214 Professional Cir Ste a
Saint Marys, GA 31558-3783
Phone (904) 588-2001

Other names 1

  • Jimmy Arturo Malaver Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000179 FL Practitioner - General Practice 0648278184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65138GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Jul 25, 2012 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 25, 2012 Accepting new patients
St Vincents Electrocardiography, Inc Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4010
Jacksonville, FL 32216

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1992802342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PROFESSIONAL CIR STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583783",
            "telephone_number": "904-588-2001",
            "fax_number": "912-576-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PROFESSIONAL CIR STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583783",
            "telephone_number": "787-605-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVER-REYES",
        "first_name": "JIMMY",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "65138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "MALAVER",
            "middle_name": "ARTURO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.