Active NPI
John J. Allan, M.D.
- Cardiovascular Disease Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 9701683
- Practice address
- 1424 Fern Creek Dr
Suite D
Statesville, NC 28625-9376 - Phone
- (704) 878-2058
- Fax
- (704) 872-6576
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9701683 | NC | Primary |
Addresses
Primary practice location
1424 Fern Creek Dr
Suite D
Statesville, NC 28625-9376
Mailing address
1424 Fern Creek Dr
Suite D
Statesville, NC 28625-9376
Phone (704) 878-2058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891101V | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.allan.1@4693.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000584 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 5193787273 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iredell Physician Network LLC
Practice addresses (Care Compare)
925 Thomas St
Statesville, NC 28677-3484
Phone (704) 883-3378
Hospital & facility affiliations
- Iredell Memorial Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Past | Accepting new patients |
Locations
653 Bluefield Rd
Ste F
Mooresville, NC 28117
Phone (704) 360-6480
653 Bluefield Rd
Ste D
Mooresville, NC 28117
Phone (704) 360-6470
1410 Fern Creek Dr
Statesville, NC 28625
Phone (704) 873-6863
766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182
925 Thomas St
Statesville, NC 28677
Phone (704) 873-0263
Interoperability endpoints
- john.allan@iredell.cernerdirect.com
- john.allan.1@4693.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Taylorsville, NC
- NPI 1124402946
-
- Diagnostic Radiology Physician
- Mooresville, NC
- NPI 1326620410
-
- Rural Health Clinic/Center
- Harmony, NC
- NPI 1497139398
-
- Ambulatory Surgical Clinic/Center
- Statesville, NC
- NPI 1578073631
-
- Family Medicine Physician
- Mooresville, NC
- NPI 1235711334
-
- Otolaryngology Physician
- Statesville, NC
- NPI 1447063920
-
- Family Medicine Physician
- Mooresville, NC
- NPI 1780822288
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1235121997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 FERN CREEK DR",
"address_2": "SUITE D",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259376",
"telephone_number": "704-878-2058",
"fax_number": "704-872-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 FERN CREEK DR",
"address_2": "SUITE D",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259376",
"telephone_number": "704-878-2058",
"fax_number": "704-872-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "JOHN",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "9701683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891101V",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.allan.1@4693.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct access",
"address_1": "1424 Fern Creek Dr",
"address_2": "Suite D",
"city": "Statesville",
"state": "NC",
"country_code": "US",
"postal_code": "286259376",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.