Active NPI
Randy D. Proffitt, M.D., LLC
- Plastic Surgery Physician
- Mobile, AL
National Provider Identifier
1326066010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51531824 | Other | AL | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
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.