Individual provider Active NPI

Denise Johnson Allen, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1285826271
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN123212 Issued in GA
Practice address
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone
(706) 353-2990
Fax
(706) 353-2992
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN123212 GA Primary

Addresses

Primary practice location

3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400

Mailing address

3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone (063) 532-9927

Other practice location 1

3320 Old Jefferson Rd Bldg 700
Athens, GA 30607-1465
Phone (706) 353-2990

Other practice location 2

4182 Highway 278 NE
Covington, GA 30014-2494
Phone (678) 712-6921

Other identifiers 2

IdentifierTypeStateIssuer
1285826271MedicaidGA
1285826271OtherGABCBS,UNITED HEALTHCARE,ATHENS AREA HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000454 GA Practitioner - Nurse Practitioner 9739258187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G LLC CurrentSince Sep 1, 2023 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Current Accepting new patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Sep 1, 2023 Accepting new patients
University Cancer & Blood Center LLC CurrentSince Jan 13, 2025 Accepting new patients
Northside Imaging LLC Past Accepting new patients
University Health Alliance Past Accepting new patients

Locations

3320 Old Jefferson Rd
Bldg 700
Athens, GA 30607
Phone (706) 224-6348

3320 Old Jefferson Rd
Bldg 800
Athens, GA 30607
Phone (706) 353-2290

125 King Ave
Ste 200
Athens, GA 30606
Phone (706) 369-4478

3320 Old Jefferson Rd
Ste 600
Athens, GA 30607
Phone (706) 549-4155

110 Mercer Pl
Commerce, GA 30529
Phone (706) 335-2302

4182 Highway 278 NE
Covington, GA 30014
Phone (678) 712-6921

119 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (762) 220-1880

1000 Cowles Clinic Way
Ste M-200
Greensboro, GA 30642
Phone (706) 454-0159

355 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 356-2934

2151 W Spring St
Ste B200
Monroe, GA 30655
Phone (770) 267-0724

3991 Highway 78 W
Ste 102
Snellville, GA 30039
Phone (706) 715-2010

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

1656 Falls Rd
Ste B
Toccoa, GA 30577
Phone (706) 886-0392

1460 Resurgence Dr
Watkinsville, GA 30677
Phone (706) 715-2410

295 N Broad St
Winder, GA 30680
Phone (678) 963-0939

Interoperability endpoints

  • Direct secure messaging: denise.johnson.1@9864.direct.athenahealth.com
  • Direct secure messaging: denise.johnsonallen.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 6

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1285826271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 800",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "063-532-9927",
            "fax_number": "706-353-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 800",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Old Jefferson Rd Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071465",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4182 Highway 278 NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300142494",
            "country_code": "US",
            "telephone_number": "678-712-6921",
            "fax_number": "678-712-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DENISE",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN123212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285826271",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS,UNITED HEALTHCARE,ATHENS AREA HEALTH",
            "identifier": "1285826271",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.