Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Robert Malinowski Jr., AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1740893593

Mr. Timothy Robert Malinowski Jr., AGPCNP-BC is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2020, 6 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1005 Grove Rd
Greenville, SC 29605-4630
Phone: (864) 455-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 24219 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 24219 (SC)

Record details

NPI number1740893593
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedAugust 30, 2020
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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