Individual provider Active NPI

Julian E Allen, MD

  • Surgery Physician
  • Pulaski, TN
National Provider Identifier
1285606277
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52319 Issued in TN
Practice address
1255 E College St
Suite 500
Pulaski, TN 38478-4515
Phone
(931) 363-8055
Fax
(931) 363-8056
NPI assigned
Feb 3, 2006
Last updated
Jan 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52319 TN Primary
Surgery Physician 208600000X 00025886 AL

Addresses

Primary practice location

1255 E College St
Suite 500
Pulaski, TN 38478-4515

Mailing address

1255 E College St
Suite 500
Pulaski, TN 38478-4515
Phone (931) 363-8055

Other identifiers 2

IdentifierTypeStateIssuer
02877599MedicaidMS
51521437MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150410001524 TN Practitioner - General Surgery 4587649934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025886ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Hillside LLC CurrentSince Mar 1, 2015 Accepting new patients
Amg-Hillside, LLC Surgery CurrentSince Mar 1, 2015 Accepting new patients
Amg-Hillside LLC Current Accepting new patients

Locations

1255 E College St
Ste 500
Pulaski, TN 38478
Phone (931) 363-8055

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: allen_julian_e_-_phy@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1285606277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E COLLEGE ST",
            "address_2": "SUITE 500",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784515",
            "telephone_number": "931-363-8055",
            "fax_number": "931-363-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E COLLEGE ST",
            "address_2": "SUITE 500",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784515",
            "telephone_number": "931-363-8055",
            "fax_number": "931-363-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JULIAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "52319",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00025886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02877599",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51521437",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.