Individual provider Active NPI

Cshanyse Avril Allen, APRN, FNP-BC, DNP

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1306729462
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN146812 Issued in GA
Practice address
100 Seagraves Dr Ste 1
Athens, GA 30605-2492
Phone
(706) 705-2033
Fax
(706) 850-8005
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 RN146812 GA Primary

Addresses

Primary practice location

100 Seagraves Dr Ste 1
Athens, GA 30605-2492

Mailing address

100 Seagraves Dr Ste 1
Athens, GA 30605-2492
Phone (706) 705-2033

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
I20260318002537 GA Practitioner - Nurse Practitioner 4385041748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Seagraves Dr
Suite 1
Athens, GA 30605-2492

130 Meredith Ridge Rd
Athens, GA 30605-4491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN146812GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Health Care Institute LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

100 Seagraves Dr
Ste 1
Athens, GA 30605
Phone (706) 705-2033

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, 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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1306729462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SEAGRAVES DR STE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052492",
            "telephone_number": "706-705-2033",
            "fax_number": "706-850-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEAGRAVES DR STE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052492",
            "telephone_number": "706-705-2033",
            "fax_number": "706-850-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CSHANYSE",
        "middle_name": "AVRIL",
        "credential": "APRN, FNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN146812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.