James W Allen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

032201 Issued in GA

Practice address

182 Lake Tehama TRL
Homer, GA 30547-2250

Phone

(706) 677-2019

NPI assigned

Jun 12, 2007

Last updated

Aug 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jim Allen Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sleep EzzyGroup PAC ID 4486920295, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sleep Ezzy

  • Pain Medicine (Anesthesiology) Physician
  • Lawrenceville, GA
  • NPI 1154852820
  Medicare reassignment Care Compare group NPD
• Georgia Interventional Pain - D LLC

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
  • NPI 1043660442
  NPD (past)
• Georgia Interventional Pain - H, LLC

  • Ambulatory Surgical Clinic/Center
  • Carrollton, GA
  • NPI 1225627094
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1346444676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 LAKE TEHAMA TRL",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "305472250",
            "telephone_number": "706-677-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 LAKE TEHAMA TRL",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "305472250",
            "telephone_number": "706-677-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "032201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808244A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "032201",
            "identifier": "LICENSE NUMBER",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "ALLEN",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Atlas Chiropractic & Welness Center, LLC (Homer Family Chiropractor)
• Banks County Health Department
• Banks County Health Department
• Banks County School System
• Kim T Bost, PHARM D

• Certified Registered Nurse Anesthetist in Homer, GA
• Providers in Homer, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.