Allcare Health Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALLCARE HEALTH CLINIC

Practice address

2220 Atlanta Rd SE
Smyrna, GA 30080-1583

Phone

(770) 970-0024

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jean Bastia, NPNPI 1932561164

Title

Nurse Practitioner

Phone

(678) 425-4030

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Bastia, FNP

  • Family Nurse Practitioner
  • Kennesaw, GA
  • NPI 1932561164
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1053812032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4387 LAURIAN DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445147",
            "telephone_number": "678-425-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801583",
            "telephone_number": "770-970-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "BASTIA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-425-4030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202I508719",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I508719",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waleska D Alfaro, DMD
• Ayesha Ali, MD
• Nisha Jiwani Ali, APRN
• Shahzad Ali, PT, DPT
• Aseel Alkhalaileh
• Brianna Allen
• Deborah Merrick Allen, M.S.W.
• Megan Allen, CSW
• Octavia Allen
• Rebecca Lynn Allen, BCABA

• Primary Care Clinic/Center in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.