Active NPI
Jonathon C. Allen, M.D.
- Emergency Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD042171
- Practice address
- 2525 De Sales Avenue
Chattanooga, TN 37404 - Phone
- (423) 697-0014
- Fax
- (423) 648-6280
- NPI assigned
- Aug 1, 2006
- Last updated
- Nov 18, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56949 | GA | |
| Emergency Medicine Physician | 207P00000X | 42171 | TN | |
| Emergency Medicine Physician | 207P00000X | MD042171 | TN | Primary |
Addresses
Primary practice location
2525 De Sales Avenue
Chattanooga, TN 37404
Mailing address
725 Glenwood Drive
Suite E-487
Chattanooga, TN 37404
Phone (423) 697-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56949 | GA | MD | Emergency Medicine Physician |
| 42171 | TN | MD | Emergency Medicine Physician |
| MD042171 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Gwinnett Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Gwinnett Emergency Specialists Observation Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Burke Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Hargrave Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Washington Wilkes Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
120 Gordon St
Washington, GA 30673
Phone (706) 678-1177
351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
725 Glenwood Dr
Ste E487
Chattanooga, TN 37404
Phone (423) 697-0014
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Sandy Springs, GA
- NPI 1285686303
-
- Emergency Care Clinic/Center
- Hixson, TN
- NPI 1427264126
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1720373129
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1437346467
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba WellStar Neurosciences
- Neurology Physician
- Marietta, GA
- NPI 1083027320
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Emergency Medicine Physician
- Waynesboro, GA
- NPI 1699701367
-
- Emergency Medicine Physician
- Fort Oglethorpe, GA
- NPI 1760744668
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1306853577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 GLENWOOD DRIVE",
"address_2": "SUITE E-487",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "423-697-0014",
"fax_number": "423-648-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 DE SALES AVENUE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "423-697-0014",
"fax_number": "423-648-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JONATHON",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "56949",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "42171",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD042171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.