Individual provider Active NPI

Hillary Fahye Allan, D.O.

  • Psychiatry Physician
  • Concord, NC
National Provider Identifier
1124564901
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018-00646 Issued in 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
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 2018-00646 NC Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address hallan661193@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180926001247 NC Practitioner - Psychiatry 4082965389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

845 Church St N
Suite 203
Concord, NC 28025-4374
Phone (704) 316-5027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Aug 1, 2018 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

Interoperability endpoints

  • Direct secure messaging: hallan661193@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1124564901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-5027",
            "fax_number": "704-316-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CHURCH ST N STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254374",
            "telephone_number": "704-316-5027",
            "fax_number": "704-316-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 E Jersey St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072061259",
            "country_code": "US",
            "telephone_number": "908-994-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "HILLARY",
        "middle_name": "FAHYE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2018-00646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hallan661193@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "655 E Jersey St",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072061259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.