Randolph Augustus Malone IV, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

034412 Issued in GA

Practice address

2804 Remington Green Circle Ste1
Tallahassee, FL 32308

Phone

(850) 656-6269

Fax

(850) 877-5270

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Allergy/Immunology

Education

Medical College of Georgia School of Medicine, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score

84.84 of 100Reported as group

Quality

78.92

Promoting interoperability

99

Improvement activities

40

Cost

71.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Southeast Asthma and Allergy Center PC

  • Allergy Physician
  • Tallahassee, FL
  • NPI 1295012631
  Medicare reassignment Authorized official
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497726814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "229-226-5616",
            "fax_number": "229-226-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIRCLE STE1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-656-6269",
            "fax_number": "850-877-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317926645",
            "country_code": "US",
            "telephone_number": "229-226-5616 x003",
            "fax_number": "229-226-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "RANDOLPH",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "060041",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "034412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000465671A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Malagic
• Lauren Dax Maldonado, MSW, LCSW
• Leslie Maldonado
• Rebekah Kismet Malkin, MS
• Chloe Anne Malloy
• Tiffany T Malone, OD
• Lauren Malphurs
• Ginny Cheshire Manalo, APRN
• Robert M Manausa, M.D.
• Douglas Mancuso, MD

• Allergy Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.