Hillary Fahye Allan, D.O.
Individual provider Active NPI Psychiatry Physician · Concord, NC
NPI 1124564901 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1124564901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 2018-00646 (NC)
- Practice address
- 845 Church St N Ste 203
Concord, NC 28025-4374 - Phone
- (704) 316-5027
- Fax
- (704) 316-5028
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
845 Church St N
Suite 203
Concord, NC 28025-4374
Phone (704) 316-5027
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20180926001247 | NC | Practitioner - Psychiatry | 4082965389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-00646 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Psychiatry | Current |
Accepting new patients |
| Novant Health Medical Group, LLC | Current |
Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
845 Church St N
Ste 203
Concord, NC 28025
Phone (704) 316-5027
1401 Matthews Township Pkwy
#220
Matthews, NC 28105
Phone (704) 384-6020
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 2018-00646 | NC | Yes |
Addresses
Primary practice location
845 Church St N Ste 203
Concord, NC 28025-4374
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5027
Other practice location 1
655 E Jersey St
Elizabeth, NJ 07206-1259
Phone (908) 994-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hallan661193@direct.novanthealth.org |
Other providers in Concord, NC
- Julia R. Alexander
- Alfred E. Johnson, D.C. P.a.
- All Care
- All Diagnostics
- Be Knowledge Allah I
- Allc Corporation
- Jaida Claire Allen
- Madeline Allen
- Tyhitia Allen
- Kenneth Ray Allison III
All providers in Concord, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.