Individual provider Active NPI

Shelley Monique Dunson-Allen, M.D.

  • Specialist
  • Roswell, GA
National Provider Identifier
1104803915
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
033316 Issued in GA
Practice address
1300 Upper Hembree Rd
Building 100, Suite D
Roswell, GA 30076-0927
Phone
(770) 670-6170
Fax
(770) 670-6171
NPI assigned
Dec 22, 2005
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 033316 GA Primary

Addresses

Primary practice location

1300 Upper Hembree Rd
Building 100, Suite D
Roswell, GA 30076-0927

Mailing address

1300 Upper Hembree Rd
Building 100, Suite D
Roswell, GA 30076-0927
Phone (770) 670-6170

Other identifiers 2

IdentifierTypeStateIssuer
202G701095OtherMEDICARE PTAN
00544508GMedicaidGA

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
I20050810000004 GA Practitioner - Obstetrics/Gynecology 7911936265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 Upper Hembree Rd
Suite 100
Roswell, GA 30076-0927
Phone (770) 670-6170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shelley Dunson-Allen, M.D., P.C. Specialist CurrentSince Feb 20, 2013 Accepting new patients
Ehca Johns Creek, LLC Past Accepting new patients
Wellstar North Fulton Hospital, Inc Past Accepting new patients

Locations

1305 Hembree Rd
Ste 101
Roswell, GA 30076
Phone (678) 867-0000

Interoperability endpoints

  • Direct secure messaging: shelley.dunson-allen.1@14062.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1104803915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD",
            "address_2": "BUILDING 100, SUITE D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "770-670-6170",
            "fax_number": "770-670-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD",
            "address_2": "BUILDING 100, SUITE D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "770-670-6170",
            "fax_number": "770-670-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSON-ALLEN",
        "first_name": "SHELLEY",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "033316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G701095",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00544508G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.