Active NPI
Patrick S Malone, DPM
- Podiatrist
- Jasper, GA
National Provider Identifier
1174501555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000833
- Practice address
- 620 J L White Dr Ste 140B
Jasper, GA 30143-4896 - Phone
- (770) 408-2039
- Fax
- (888) 325-0461
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000833 | GA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000833 | GA |
Addresses
Primary practice location
620 J L White Dr Ste 140B
Jasper, GA 30143-4896
Mailing address
PO Box 2589
Gainesville, GA 30503-2589
Phone (888) 821-1242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00246419 | Other | GA | MEDICARE RR |
| 00800214A | Medicaid | GA | |
| 823527 | Other | GA | BLUE CROSS BLUE SHIELD |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110425000781 | GA | Practitioner - Podiatry | 7012192693 | Practice locations: Atlanta, GA; Dillard, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
285 Blvd NE
Suite L 3
Atlanta, GA 30312
Phone (404) 265-4325
Hospital & facility affiliations
- Coosa Valley Home Health, an Amedisys
- Piedmont Cartersville Medical Center
- Piedmont Mountainside Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 878 |
| Removal of nail tissue | 1295 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 833 | GA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lung Centers of Georgia | Past | Accepting new patients | |
| Cardiovascular Clinic of North Georgia PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFEHBA
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.
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1578839296
-
- Specialist
- Douglasville, GA
- NPI 1821156688
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rome, GA
- NPI 1285682955
-
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1174501555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2589",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305032589",
"telephone_number": "888-821-1242",
"fax_number": "888-325-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 J L WHITE DR STE 140B",
"city": "JASPER",
"state": "GA",
"postal_code": "301434896",
"telephone_number": "770-408-2039",
"fax_number": "888-325-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "PATRICK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "000833",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "000833",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00246419",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00800214A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "823527",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.