Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1962794594 Deactivated / Inactive NPI Female Practitioner

Kelly M Malone , PA-C

Physician Assistant • Jasper, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelly Malone has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2011
NPI Deactivation Date March 12, 2019
Total Practice Duration ~8 Years of Practice (2011 – 2019)

Professional Overview & Biography Verified Profile Summary

Kelly Malone, PA-C was a registered Physician Assistant practicing in Jasper, TX. Throughout an active medical career spanning 8 years, Kelly Malone provided care at the practice location at 1273 S PEACHTREE ST until profile deactivation on 2019-03-12.

Practice Location & Contact Primary Location

Practice Address

1273 S Peachtree St

Jasper, TX 759514915

Telephone 4093849200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jasper, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Jasper, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Jenna-Maree Inman , FNP-BC

Nurse Practitioner - Family

NPI 1215393533

Family Nurse Practitioner (Board Certified)

Heather Reagan , AFNP

Nurse Practitioner - Family

NPI 1326671231
Sylvia Duhon

Nurse Practitioner - Family

NPI 1336712991
Dr. Durba Mishra , MD

Internal Medicine

NPI 1588673008

Doctor of Medicine (M.D.)

NPI 1639188147

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 12, 2019

Record deactivated on March 12, 2019

NPI Profile Active May 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2011

Registered at 1273 S PEACHTREE ST, JASPER, TX 759514915 (Tel: 4093849200)

📍
Updated Business Mailing Address May 16, 2011

Registered at 1273 S PEACHTREE ST, JASPER, TX 759514915 (Tel: 4093849200)

👤
Provider Name / Credentials Updated May 16, 2011

Recorded as KELLY MALONE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2011

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kelly Malone. Be the first to share your experience!

Sign in to leave a review for Kelly Malone

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1962794594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2011
Last Update: May 16, 2011
Deactivation Date: March 12, 2019

Mailing Address

1273 S Peachtree St

Jasper, TX 759514915

Phone: 4093849200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.