Individual provider Active NPI

Peter Edward Allotey, MD

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1164482808
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045693 Issued in GA
Practice address
5398 Thomaston Rd
Macon, GA 31220-8110
Phone
(478) 743-8316
Fax
(478) 743-1824
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045693 GA Primary

Addresses

Primary practice location

5398 Thomaston Rd
Macon, GA 31220-8110

Mailing address

5398 Thomaston Rd
Macon, GA 31220-8110
Phone (478) 743-8316

Other practice location 1

2660 Montpelier Ave
Macon, GA 31204-5226
Phone (478) 743-8316

Other identifiers 1

IdentifierTypeStateIssuer
00924624AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000093 GA Practitioner - Internal Medicine 6103921499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911

5398 Thomaston Rd
Macon, GA 31220-8110
Phone (770) 442-1911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045693GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Primary Care, LLC Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jun 17, 2022 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

5398 Thomaston Rd
Ste B
Macon, GA 31220
Phone (478) 476-8868

5398 Thomaston Rd
Macon, GA 31220
Phone (478) 476-8868

2660 Montpelier Ave
Macon, GA 31204
Phone (478) 743-8316

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1164482808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 THOMASTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208110",
            "telephone_number": "478-743-8316",
            "fax_number": "478-743-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 THOMASTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208110",
            "telephone_number": "478-743-8316",
            "fax_number": "478-743-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 Montpelier Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312045226",
            "country_code": "US",
            "telephone_number": "478-743-8316",
            "fax_number": "478-743-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLOTEY",
        "first_name": "PETER",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00924624A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.