Individual provider Active NPI

Ron Alleyne, MD

  • Obesity Medicine (Family Medicine) Physician
  • Marietta, GA
National Provider Identifier
1366741068
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
070518 Issued in GA
Practice address
3707 Largent Way NW
Marietta, GA 30064-5981
Phone
(678) 581-5729
Fax
(678) 581-5719
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 070518 GA
Obesity Medicine (Family Medicine) Physician 207QB0002X 070518 GA Primary

Addresses

Primary practice location

3707 Largent Way NW
Marietta, GA 30064-5981

Mailing address

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221
Phone (770) 387-0730

Other practice location 1

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221
Phone (770) 387-0730

Other identifiers 1

IdentifierTypeStateIssuer
003148385AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ralleyne141805@directwellstar.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916002112 GA Practitioner - Family Practice 8224257761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 7, 2017 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 7, 2017 Accepting new patients
Solace Health Medical Group Inc Family Medicine CurrentSince Feb 12, 2025 Accepting new patients

Locations

2025 N 3rd St
Ste B300
Phoenix, AZ 85004
Phone (480) 482-1838

1500 Southland Cir NW
Ste H
Atlanta, GA 30318
Phone (404) 786-0006

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3707 Largent Way NW
Marietta, GA 30064
Phone (678) 581-5729

2057 Green Bay Rd
Ste 1001
Highland Park, IL 60035

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

140 E Broadway St
Tipp City, OH 45371
Phone (317) 960-7507

1201 Liberty Pike
Ste 229
Franklin, TN 37067
Phone (557) 203-9299

120 Bishops Way
Ste 1044
Brookfield, WI 53005

Interoperability endpoints

  • Direct secure messaging: ralleyne141805@directwellstar.org

Organizations & group practices 4

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1366741068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204221",
            "telephone_number": "770-387-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 LARGENT WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645981",
            "telephone_number": "678-581-5729",
            "fax_number": "678-581-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 Joe Frank Harris Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301204221",
            "country_code": "US",
            "telephone_number": "770-387-0730",
            "fax_number": "770-387-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "RON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "070518",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "GA",
            "license": "070518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148385A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralleyne141805@directwellstar.org",
            "affiliation": "N",
            "address_1": "3707 Largent Way NW",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300645981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.