Audrey S Alleyne, MD
Individual provider Active NPI Anesthesiology Physician · Newberry, SC
NPI 1164522694 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1164522694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 039479 (GA)
- Practice address
- 2669 Kinard St
Newberry, SC 29108-2911 - Phone
- (803) 276-7570
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Un of California, Irvine, College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Anesthesia LLC
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
340 Hospital Dr
BLDG E
Macon, GA 31217-3838
Phone (478) 746-7577
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 746-7577
Hospital & facility affiliations
- Piedmont Macon North Hospital
- Coliseum Medical Centers, LLC, Dba
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, GA
- 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 |
|---|---|---|---|---|
| I20100223000703 | SC | Practitioner - Anesthesiology | 6901940386 | Reassigns benefits to 1 organization |
| I20171024002016 | GA | Practitioner - Anesthesiology | 6901940386 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039479 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia LLC | Anesthesiology | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Anesthesiology | Current |
Accepting new patients |
| Au Medical Associates Anesthesia Billing Services, LLC | Anesthesiology | Past | Accepting new patients |
Locations
70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
380 Hospital Dr
Ste 380
Macon, GA 31217
Phone (478) 746-5644
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 039479 | GA | Yes |
Addresses
Primary practice location
2669 Kinard St
Newberry, SC 29108-2911
Mailing address
3824 Honors Way
Martinez, GA 30907-9146
Phone (706) 267-5170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915210274A | Medicaid | GA | |
| G39479 | Medicaid | SC | |
| POO135579 | Other | GA | RAILROAD MEDICARE |
| 001319 | Other | GA | BCBS |
| 339277 | Other | GA | WELLCARE CMO |
| 550789920 | Other | GA | TRICARE |
| 915210274B | Other | GA | GEORGIA MEDICAID AT CHILDRENS MEDICAL CENTER |
| 915210274B | Medicaid | GA |
Other names
- Audrey Denise Stapleton
Other providers in Newberry, SC
- Samantha Marie Adams
- Audrey Lynn Alexander
- All-Grace Hospice, LLC
- Jennifer Frick Amick
- Alexandria Anderson
- Angel Care Home Care
- At Home Senior Care
- At Home Senior Care Hospice
All providers in Newberry, SC · Anesthesiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. 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.