MALORIE DEVAUGHN ACNPC-AG NPI 1174070684

NPI Information

  • NPI: 1174070684
  • Provider Name: MALORIE DEVAUGHN, ACNPC-AG
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 611 ALCORN DR
    CORINTH, MS
    ZIP 38834
  • Phone: (662) 293-1000

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NPI Details

Malorie Devaughn, ACNPC-AG is an acute care nurse practitioner in Corinth, MS with 9 years of experience. Malorie Devaughn, ACNPC-AG NPI is 1174070684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 ALCORN DR
CORINTH, MS
ZIP 38834-321
Phone: (662) 293-1000
Fax: (662) 293-4323

The NPI 1174070684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology901724MISSISSIPPINo
2363LA2100XNurse PractitionerAcute Care901724MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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