Active NPI
Michael Gary Allison, D.O.
- Anesthesiology Physician
- Crossville, TN
National Provider Identifier
1104814797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 188099
- Practice address
- 421 South Main Street
Crossville, TN 38555 - Phone
- (931) 484-9511
- Fax
- (931) 456-4405
- NPI assigned
- Oct 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS-006810L | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 18895 | MS | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 188099 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 6347 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 1974 | TN | |
| Anesthesiology Physician | 207L00000X | 188099 | PA | Primary |
Addresses
Primary practice location
421 South Main Street
Crossville, TN 38555
Mailing address
1307 West Ave
Suite 102
Crossville, TN 38555-5107
Phone (931) 456-4433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01715897 | Medicaid | NY | |
| 0016134270002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188099 | PA | MD | Anesthesiology Physician |
| 18895 | MS | MD | Pain Medicine (Anesthesiology) Physician |
| 6347 | OH | MD | Pain Medicine (Anesthesiology) Physician |
| OS-006810L | PA | MD | Pain Medicine (Anesthesiology) Physician |
| 39929 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Anesthesiology, Inc | Anesthesiology | Current | Accepting new patients |
| Northside Cherokee Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
| Apollomd Group Services, LLC | Anesthesiology | Past | Accepting new patients |
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Newnan Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Deercreek Anesthesia Consultants PLLC | Anesthesiology | Past | Accepting new patients |
| Lehigh Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Crossville, TN
- NPI 1982658019
-
- Anesthesiology Physician
- Griffin, GA
- NPI 1568616860
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1508842246
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1033300298
-
- Anesthesiology Physician
- Canton, GA
- NPI 1356428304
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1104814797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 WEST AVE",
"address_2": "SUITE 102",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555107",
"telephone_number": "931-456-4433",
"fax_number": "931-456-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 SOUTH MAIN STREET",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "38555",
"telephone_number": "931-484-9511",
"fax_number": "931-456-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "MICHAEL",
"middle_name": "GARY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-09",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "OS-006810L",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MS",
"license": "18895",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "188099",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "6347",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "1974",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "188099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01715897",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016134270002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.