Individual provider Active NPI

Patrick S Malone, DPM

  • Podiatrist
  • Jasper, GA
National Provider Identifier
1174501555
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000833 Issued in GA
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

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00246419OtherGAMEDICARE RR
00800214AMedicaidGA
823527OtherGABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Rome, GA, CCN 117041
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue878
Removal of nail tissue1295
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
833GAMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
The Lung Centers of Georgia PastSince Jul 21, 2017 Accepting new patients
Cardiovascular Clinic of North Georgia PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.