Jonathon C. Allen, M.D.
Individual provider Active NPI Emergency Medicine Physician · Chattanooga, TN
NPI 1306853577 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1306853577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD042171 (TN)
- Practice address
- 2525 De Sales Avenue
Chattanooga, TN 37404 - Phone
- (423) 697-0014
- Fax
- (423) 648-6280
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside Emergency Associates, P.C.
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
- Northside Hospital Cherokee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000598 | GA | Practitioner - Emergency Medicine | 9739193475 | Reassigns benefits to 5 organizations |
| I20070719000517 | TN | Practitioner - Emergency Medicine | 9739193475 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
|---|---|---|---|
| Chattanooga Emergency Medicine PLLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Gwinnett Emergency Specialists, LLC | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Gwinnett Emergency Specialists Observation Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Chattanooga Emergency Medicine PLLC | Current |
Accepting new patients | |
| Washington Wilkes Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Burke Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Hargrave Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
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
725 Glenwood Dr
Ste E487
Chattanooga, TN 37404
Phone (423) 697-0014
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56949 | GA | |
| Emergency Medicine Physician | 207P00000X | 42171 | TN | |
| Emergency Medicine Physician | 207P00000X | MD042171 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000083 | Medicaid | TN | |
| 4154007 | Other | TN | BLUE CROSS |
| P00416699 | Other | TN | RAILROAD/MEDICARE |
Other providers in Chattanooga, TN
- Ashley Allen
- Chasity Deshay Allen
- David G Allen
- Douglas Lane Allen
- Hunter Chase Allen
- Kimberly Allen
- Lanisha Allen
- Mackenzie Allen
- Mark Christopher Allen
- Nora Jean Allen
All providers in Chattanooga, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.