Martin Augustus Allen, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Seneca, SC
NPI 1033199831 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1033199831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 36847 (SC)
- Practice address
- 10110 Clemson Blvd
Seneca, SC 29678-0812 - Phone
- (864) 482-3148
- Fax
- (864) 482-0505
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- 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 |
|---|---|---|---|---|
| I20141002002244 | SC | Practitioner - Obstetrics/Gynecology | 9537192513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36640 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | Accepting new patients | |
| Greenville Health System | Current |
Accepting new patients | |
| Greenville Health System | Current |
Accepting new patients | |
| Oconee Medical Center | Past | Accepting new patients | |
| Piedmont Women'S Healthcare, PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
Interoperability endpoints
- mallen128810@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 36847 | SC | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | 36640 | NC |
Addresses
Primary practice location
10110 Clemson Blvd
Seneca, SC 29678-0812
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
103 Carter Park Dr
Suite A
Seneca, SC 29678-1152
Phone (864) 482-2360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701372 | Other | NC | UNITED HEALTHCARE |
| 10901 | Other | NC | BCBSNC |
| 4120 | Other | NC | PARTNERS |
| 368471 | Medicaid | SC | |
| 8910901 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mallen128810@direct.ghs.myhfn.org | Direct |
Other providers in Seneca, SC
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- Deborah J Albaugh
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- Robert Stanley Allen
- Tamira Allen
- Kiran Kumar Allu
- Andrea L Allyn
- Alexis Almeida
All providers in Seneca, SC · Obstetrics & Gynecology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. 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.