Individual provider Active NPI

Paris Cannon McAllister

  • Obstetrics & Gynecology Physician
  • Riverdale, GA
National Provider Identifier
1093276263
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P97335 Issued in GA
Practice address
81 Upper Riverdale Rd SW Ste 210
Riverdale, GA 30274-2627
Phone
(770) 996-1200
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P97335 GA Primary

Addresses

Primary practice location

81 Upper Riverdale Rd SW Ste 210
Riverdale, GA 30274-2627

Mailing address

81 Upper Riverdale Rd SW Ste 210
Riverdale, GA 30274-2627
Phone (770) 996-1200

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
I20231019000053 GA Practitioner - Obstetrics/Gynecology 7618300310 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P97335GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Tyrone LLC CurrentSince Jan 21, 2025 Accepting new patients
My OBGYN PC CurrentSince Sep 25, 2023 Accepting new patients
Piedmont Providers LLC PastSince May 7, 2024 Accepting new patients

Locations

81 Upper Riverdale Rd SW
Ste 210
Riverdale, GA 30274
Phone (770) 996-1200

190 Handley Rd
Tyrone, GA 30290
Phone (678) 904-7053

190 Handley Rd
Ste A
Tyrone, GA 30290
Phone (770) 997-5714

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1093276263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 UPPER RIVERDALE RD SW STE 210",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742627",
            "telephone_number": "770-996-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 UPPER RIVERDALE RD SW STE 210",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742627",
            "telephone_number": "770-996-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON MCALLISTER",
        "first_name": "PARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "P97335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.