Active NPI
Randy Douglas Proffitt, M.D.
- Plastic Surgery Physician
- Mobile, AL
National Provider Identifier
1528085347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 16402
- Practice address
- 6317 Piccadilly Square Dr
Mobile, AL 36609-5103 - Phone
- (251) 344-0322
- Fax
- (251) 344-0395
- NPI assigned
- Jul 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 16402 | AL | 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 |
|---|---|---|---|
| 051531824 | Other | AL | BLUE CROSS |
Other names 1
- Dr. Randy Douglas Proffitt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16402 | AL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Plastic Surgery | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774051200000",
"number": "1528085347",
"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": {
"last_name": "PROFFITT",
"first_name": "RANDY",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2026-03-21",
"certification_date": "2026-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "AL",
"license": "16402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051531824",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDY",
"last_name": "PROFFITT",
"middle_name": "DOUGLAS",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}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.