Ivey E. Allen, P.A.
Individual provider Active NPI Surgical Physician Assistant · Thomasville, GA
NPI 1205119005 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1205119005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 006083 (GA)
- Practice address
- 100 Mimosa Dr
Thomasville, GA 31792-6676 - Phone
- (229) 226-8881
- Fax
- (229) 227-5187
- NPI assigned
- Sep 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Archbold Medical Group, Inc.
Practice addresses (Care Compare)
100 Mimosa Dr
Thomasville, GA 31792-6676
Phone (229) 228-5500
915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000
Hospital & facility affiliations
- Archbold Memorial Hospital
- Grady General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111005000138 | GA | Practitioner - Physician Assistant | 7618149196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 006083 | GA | Yes |
Addresses
Primary practice location
100 Mimosa Dr
Thomasville, GA 31792-6676
Mailing address
900 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 227-5102
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ivey.allen.p8@direct.archbold.nextgenshare.com |
Other providers in Thomasville, GA
- Aesthetica Surgery Center, LLC
- Albany Area Primary Health Care, Inc
- Charles Alvin Alday Jr.
- William Ralph Alday
- Ragin Maria Alex
- John Lee Allen
- Stanley Bruce Allen
- Julie Amann
- Americanwork, LLC
- Amgir, Inc.
All providers in Thomasville, GA · Surgical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2020. 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.