Anesia Gail Allen, DO
Individual provider Active NPI Family Medicine Physician · Lanett, AL
NPI 1003495201 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1003495201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO.3600 (AL)
- Practice address
- 34 Veterans Memorial Pkwy
Lanett, AL 36863-2840 - Phone
- (334) 864-8659
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241112001350 | AL | Practitioner - Family Practice | 9436553757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles (4 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current |
Accepting new patients | |
| Quality of Life Health Services, Inc | Current |
Accepting new patients |
Locations
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
34 Veterans Memorial Pkwy
Lanett, AL 36863
Phone (334) 864-8659
Networks
- MS PPO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- MS PPO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO D-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- FL HMO D-SNP
- AL HMO
- MS PPO D-SNP
- FL PPO
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
Interoperability endpoints
- https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO.3600 | AL | Yes |
Addresses
Primary practice location
34 Veterans Memorial Pkwy
Lanett, AL 36863-2840
Mailing address
PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131
Other providers in Lanett, AL
- A Touch of Greatness LLC
- Alabama CVS Pharmacy, L.L.C.
- Margaret Elaine Backstrom
- Charles R Spivey, Inc.
- City of Lanett
- Felicia Coleman Coe
- Collins Family Dentistry
All providers in Lanett, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.