Justin Malcom, MSN, NP-C
NPI 1205321320 · Family Nurse Practitioner · Macon, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Malcom, MSN, NP-C is a Family Nurse Practitioner provider in Macon, GA (NPI 1205321320).
Provider details
- NPI number
- 1205321320
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 230579 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
176 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 88 | $76 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 49 | $53 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 26 | $108 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 13 | $66 |
Typical Medicare-allowed amounts for these services range $53–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 88 | 88 |
| Doxycycline Monohydrate | 49 | 49 |
| Fluticasone Propionate | 46 | 38 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 34 | 33 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 28 | 25 |
| Prednisone | 28 | 28 |
| Azithromycin | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$135 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1508 Hardeman AveMacon, GA 31201-1470Phone: (478) 741-7337
- 2340 Patrick Henry Pkwy Ste 150Mcdonough, GA 30253-4326Phone: (678) 671-3100
Registry dates
- Enumerated
- 2018-07-01
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Frequently asked questions
- What is Justin Malcom's NPI number?
- Justin Malcom's National Provider Identifier (NPI) is 1205321320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Malcom's specialty?
- Justin Malcom is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Malcom located?
- Justin Malcom's practice location on file with NPPES is 3400 Riverside Dr, Macon, GA 31210-2513.
- What is Justin Malcom's phone number?
- The practice phone number listed in the NPPES registry for Justin Malcom is (478) 633-6644.
- Does Justin Malcom accept Medicare?
- Justin Malcom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Malcom's NPI active?
- Yes — Justin Malcom's NPI (1205321320) is active in the NPPES registry as of the last update on 2020-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.