Individual provider Active NPI

Thomas N Malone, M.D.

  • Obstetrics & Gynecology Physician
  • Columbus, GA
National Provider Identifier
1093759573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13227 Issued in GA
Practice address
2039 10TH Ave
Columbus, GA 31901-1459
Phone
(706) 324-2485
Fax
(706) 327-9769
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13227 GA Primary
Obstetrics & Gynecology Physician 207V00000X 8194 AL

Addresses

Primary practice location

2039 10TH Ave
Columbus, GA 31901-1459

Mailing address

2039 10TH Ave
Columbus, GA 31901-1459
Phone (706) 324-2485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000559 GA Practitioner - Obstetrics/Gynecology 5597778571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13227GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas N. Malone M.D. P.C. Obstetrics & Gynecology CurrentSince Nov 1, 1978 Accepting new patients
Valley Healthcare System Inc Past Accepting new patients

Locations

2039 10th Ave
Columbus, GA 31901
Phone (706) 324-2485

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093759573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011459",
            "telephone_number": "706-324-2485",
            "fax_number": "706-327-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011459",
            "telephone_number": "706-324-2485",
            "fax_number": "706-327-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "THOMAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "13227",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "8194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.