John David Allen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

28313 Issued in SC

Practice address

140 Allen Court
North Augusta, SC 29860-1101

Phone

(803) 510-0007

Fax

(803) 510-0144

NPI assigned

Dec 6, 2005

Last updated

Sep 14, 2023By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Augusta Pediatrics LLC

  dba North Augusta Pediatrics

  • Pediatrics Physician
  • North Augusta, SC
  • NPI 1700068293
  NPD (past) Authorized official
• North Augusta Pediatrics LLC

  • Rural Health Clinic/Center
  • North Augusta, SC
  • NPI 1194496745
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1386628907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALLEN COURT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298601101",
            "telephone_number": "803-510-0007",
            "fax_number": "803-510-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALLEN COURT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298601101",
            "telephone_number": "803-510-0007",
            "fax_number": "803-510-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "28313",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "025091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000477969E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA917",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G25091",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aiken Regional Medical Centers LLC (ER at Sweetwater)
• Aiken Regional Medical Centers LLC (FED at Martintown)
• All About Children, LLC
• Allen L Sloan MD PC (Csra Pain Management)
• Herrington Murray Allen, PA-C
• Keaton James Allison, PHARMD
• Maggi Elise Almond, PA-C
• Nisreen Almusailim, MD
• Aja Anderson
• Amy Krista Anderson, PT

• Pediatrics Physician in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.