Jeremy D Allen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP001339 Issued in GA

Practice address

3201 Macon Rd Ste 109
Columbus, GA 31906-1741

Phone

(706) 225-8773

NPI assigned

Jul 6, 2022

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stopwatch Urgent Care Centers LLCGroup PAC ID 7719166230, 31 clinicians

Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment Care Compare group NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156

  AL

  Medicare reassignment Care Compare group
• Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Centre, AL
  • NPI 1932586476

  Family Medicine, GA

  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment
• Rural Urgent Care LLC

  dba MainStreet Family Care

  • Urgent Care Clinic/Center
  • Columbus, GA
  • NPI 1154092815
  NPD
• Rural Urgent Care LLC

  dba MainStreet Family Care

  • Rural Health Clinic/Center
  • Eufaula, AL
  • NPI 1588450316
  NPD
• Innovative Dialysis Centers of la Grange, LLC

  dba Fresenius Kidney Care La Grange Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lagrange, GA
  • NPI 1730522343
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1124751110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 LEE ROAD 240",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368709211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MACON RD STE 109",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061741",
            "telephone_number": "706-225-8773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Selma Ave",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367015825",
            "country_code": "US",
            "telephone_number": "334-877-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEREMY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Allen, RBT
• Bryan Patrick Allen, APRN - BC
• Debora R. Allen, L.C.S.W.
• Ebonie R Allen
• George Allen Jr.
• Leonard Franklin Allen, M.D., D.M.D.
• Loretta Allen
• Macey Danielle Allen, NP
• Melissa Rose Allen, M.S.
• Nevaeh Allen, RBT

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.