Individual provider Active NPI

Catherine Alexandra Allen, MSN, APRN, AGACNP-BC

  • Orthopaedic Surgery Physician
  • Savannah, GA
National Provider Identifier
1154142180
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
290868 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
Fax
(855) 645-0468
NPI assigned
Oct 22, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 290868 GA
Orthopaedic Surgery Physician 207X00000X 290868 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

175 Penrose Dr
Savannah, GA 31410-1259
Phone (912) 665-8503

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000365 GA Practitioner - Nurse Practitioner 4880120708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
290868GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Orthopedic Practice, LLC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Chatham Orthopaedic Associates, PA Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Chatham Orthopaedic Associates, PA Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Chatham Orthopaedic Associates, PA Orthopaedic Surgery Past Accepting new patients

Locations

613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

4425 Paulsen St
Bldg B
Savannah, GA 31405

Interoperability endpoints

  • Direct secure messaging: catherine.allen.1@18355.direct.athenahealth.com

Organizations & group practices 5

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1154142180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PENROSE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101259",
            "telephone_number": "912-665-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "855-645-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CATHERINE",
        "middle_name": "ALEXANDRA",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "290868",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "290868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.