Individual provider Active NPI

Allen L Sloan, MD

  • Pain Medicine (Anesthesiology) Physician
  • North Augusta, SC
National Provider Identifier
1235108853
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
14285 Issued in SC
Practice address
1168 W Martintown Rd
North Augusta, SC 29841-2046
Phone
(803) 202-0053
Fax
(803) 202-0018
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 14285 SC Primary

Addresses

Primary practice location

1168 W Martintown Rd
North Augusta, SC 29841-2046

Mailing address

1168 W Martintown Rd
North Augusta, SC 29841-2046
Phone (803) 202-0053

Other identifiers 2

IdentifierTypeStateIssuer
142851MedicaidSC
00378672DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20031210000362 SC Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 5890691844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1168 W Martintown Rd
North Augusta, SC 29841-2046
Phone 8032020053222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14285SCMDPharmacist

Interoperability endpoints

  • Direct secure messaging: allenlsloanmdpc.allensloan@121158.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1235108853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 W MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412046",
            "telephone_number": "803-202-0053",
            "fax_number": "803-202-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 W MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412046",
            "telephone_number": "803-202-0053",
            "fax_number": "803-202-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "ALLEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "14285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142851",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00378672D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.