Individual provider Active NPI

Michael James Maloney, M.D.

  • Allergy & Immunology Physician
  • Gainesville, GA
National Provider Identifier
1912901844
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
024982 Issued in GA
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

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00425389AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000636 GA Practitioner - Allergy/Immunology 0547385619 Reassigns benefits to 2 organizations

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
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

Practice addresses (Care Compare)

100 College Ave SE
Gainesville, GA 30501-4510
Phone (770) 534-0534

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Allergy of North Ga Allergy & Immunology CurrentSince Nov 1, 2016 Accepting new patients
Allergy Associates, PA Allergy & Immunology CurrentSince Jul 18, 2025 Accepting new patients
Allergy Associates, PA CurrentSince Jul 18, 2025 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.