P Praxis·MD
● Active Type 1 · Individual

Jacqueline A. Malloy, ARNP

Nurse Practitioner·Blue Ridge, GA· NPI 1861445447 · Enumerated 2006 · 20 years on NPI
Malloy is 1 of 19 nurse practitioner providers in Blue Ridge and 1 of 8826 in Georgia.
NPI age
20 years
Enumerated 2006-05-18
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
GA, FL, NM, TX
4 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
20 years
↑ 13 yr above median (7 yr)
State licenses
4 states
Top 92% — 8% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
101 Riverstone Vis
Blue Ridge, GA 305136648
📞 7062584400fax 7066323585
Mailing address
804 Waterford Estates Mnr
Canton, GA 301149422
📞 7707041995fax 7066323585

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #ARNP 103102 taxonomy 363LF0000X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    FL license #ARNP 9164727NM license #80435TX license #1159783 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Blue Ridge in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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