Organization Active NPI

Randy D. Proffitt, M.D., LLC

  • Plastic Surgery Physician
  • Mobile, AL
National Provider Identifier
1326066010
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RANDY D. PROFFITT, M.D., LLC
Practice address
6317 Piccadilly Square Dr
Mobile, AL 36609-5103
Phone
(251) 344-0322
Fax
(251) 344-0395
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Authorized official

Name
Dr. Randy Douglas Proffitt
Title
Owner
Phone
(251) 344-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

6317 Piccadilly Square Dr
Mobile, AL 36609-5103

Mailing address

6317 Piccadilly Square Dr
Mobile, AL 36609-5103
Phone (251) 344-0322

Other identifiers 1

IdentifierTypeStateIssuer
51531824OtherALBLUE CROSS

National Provider Directory

National Provider Directory

Locations

740 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 607-0300

6317 Piccadilly Square Dr
Mobile, AL 36609
Phone (251) 344-0322

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774051200000",
    "number": "1326066010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095103",
            "telephone_number": "251-344-0322",
            "fax_number": "251-344-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095103",
            "telephone_number": "251-344-0322",
            "fax_number": "251-344-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY D. PROFFITT, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-344-0322",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51531824",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.