Allyson Blue, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN086104 Issued in GA

Practice address

7870 Waterlace Dr
Fairburn, GA 30213-4647

Phone

(404) 542-5017

NPI assigned

Apr 30, 2019

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL, TX3 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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital in Your Home USA IncGroup PAC ID 9537520069, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allyson.blue@cinq-nyipa.medentdirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JEGJDD
• FHIR API: https://fhir4.healow.com/fhir/r4/JEGJDD/Endpoint/JEGJDD

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 in Your Home USA Inc

  dba Hospital In Your Home

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1073299574

  Adult Health, GA, TX

  Medicare reassignment Care Compare group NPD
• Care at Home Medical Practice PC

  • General Practice Physician
  • Atlanta, GA
  • NPI 1699552836
  Medicare reassignment NPD
• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  GA

  Medicare reassignment NPD
• Southbridge Housecalls LLC

  • Adult Health Nurse Practitioner
  • Fairburn, GA
  • NPI 1922688530
  Authorized official Same address or phone
• Coastal Community Health Services, Inc.

  dba Coastal Community Health County Clinic

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1063282937
  NPD
• Liferite EMS Inc

  dba Liferite EMS

  • Land Ambulance
  • Humble, TX
  • NPI 1598083321
  NPD
• Coastal Community Health Services, Inc.

  dba Coastal Community Health

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
  • NPI 1013715325
  NPD (past)
• Coastal Community Health Services, Inc.

  dba Coastal Community Health - Pooler

  • Federally Qualified Health Center (FQHC)
  • Pooler, GA
  • NPI 1871350090
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1184288730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 WATERLACE DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134647",
            "telephone_number": "404-542-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 WATERLACE DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134647",
            "telephone_number": "404-542-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Peachtree St NE Fl 19",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093574",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "ALLYSON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN086104",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN086104",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN086104",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN086104",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "RN086104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique D Besong, PHARMD
• Tusonah Ann Birmingham, RPSGT
• Grace M Blackwood, LPC
• Blaylock Rehabilitation, LLC
• Blessed and Highly Favored Care Solutions
• Christian Boateng
• Deaundria Boleware, LCSW
• Marlon Bonner
• Juanessa Donyale Booker, LPC, EDD
• Nicole Michelle Boone, NP-C

• Adult Health Nurse Practitioner in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.