Individual provider Active NPI

Audrey S Alleyne, MD

  • Anesthesiology Physician
  • Newberry, SC
National Provider Identifier
1164522694
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
039479 Issued in GA
Practice address
2669 Kinard St
Newberry, SC 29108-2911
Phone
(803) 276-7570
NPI assigned
Sep 24, 2006
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 039479 GA Primary

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 names 1

  • Audrey Denise Stapleton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100223000703 SC Practitioner - Anesthesiology 6901940386 Reassigns benefits to 1 organization
I20171024002016 GA Practitioner - Anesthesiology 6901940386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 2163837972, 555 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039479GAMDAnesthesiology Physician
32191SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Aug 1, 2021 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

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123

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.

Hospital & facility affiliations 2

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1164522694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 HONORS WAY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079146",
            "telephone_number": "706-267-5170",
            "fax_number": "706-863-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082911",
            "telephone_number": "803-276-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "AUDREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "039479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "STAPLETON",
            "middle_name": "DENISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.