Active NPI
Michael James Maloney, M.D.
- Allergy & Immunology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 024982
- Practice address
- 100 College Ave SE
Gainesville, GA 30501-4510 - Phone
- (678) 971-5005
- Fax
- (678) 971-5009
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 024982 | GA | Primary |
Addresses
Primary practice location
100 College Ave SE
Gainesville, GA 30501-4510
Mailing address
100 College Ave SE
Gainesville, GA 30501-4510
Phone (678) 971-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00425389A | Medicaid | GA |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Medical College of Georgia School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 College Ave SE
Gainesville, GA 30501-4510
Phone (770) 534-0534
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Allergy of North Ga | Allergy & Immunology | Current | Accepting new patients |
| Allergy Associates, PA | Allergy & Immunology | Current | Accepting new patients |
| Allergy Associates, PA | Current | Accepting new patients |
Locations
100 College Ave SE
Gainesville, GA 30501
Phone (678) 971-5005
2076 Ingleside Ave
Macon, GA 31204
Phone (478) 254-8305
3951 Ridge Ave
Ste C
Macon, GA 31210
Phone (478) 254-8305
6701 Baum Dr
Ste 140
Knoxville, TN 37919
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Gainesville, GA
- NPI 1013463058
-
- Allergy & Immunology Physician
- Macon, GA
- NPI 1518242601
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1932566734
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1912901844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COLLEGE AVE SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305014510",
"telephone_number": "678-971-5005",
"fax_number": "678-971-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COLLEGE AVE SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305014510",
"telephone_number": "678-971-5005",
"fax_number": "678-971-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "024982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00425389A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.