Active NPI
Beth Ann Allen, N.P.
- Medical Specialty Clinic/Center
- Fort Oglethorpe, GA
National Provider Identifier
1407977705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- RN081047
- Practice address
- 201 Thomas Rd
Fort Oglethorpe, GA 30742-3659 - Phone
- (706) 861-6668
- Fax
- (706) 861-6088
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | RN081047 | GA | Primary |
Addresses
Primary practice location
201 Thomas Rd
Fort Oglethorpe, GA 30742-3659
Mailing address
45 Kington LN
Lookout Mountain, GA 30750-3152
Phone (706) 820-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN081047 | GA | MD | Medical Specialty Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407977705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 KINGTON LN",
"city": "LOOKOUT MOUNTAIN",
"state": "GA",
"postal_code": "307503152",
"telephone_number": "706-820-1515",
"fax_number": "706-861-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 THOMAS RD",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307423659",
"telephone_number": "706-861-6668",
"fax_number": "706-861-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "GA",
"license": "RN081047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Oglethorpe, GA
- Advanced Foot Care LLP
- Afc Physicians of Georgia Primary Care, PC
- Afc Physicians of Georgia Primary Care, PC
- Afc Physicians of Georgia Primary Care, PC
- Hadi Alameddine, O.D.
- Angel EMS LLC
- Micaela Janssen Ankar, PT, DPT
- Archer Physical Therapy, Inc.
- Carrie Arendale, MS, CCC-SLP
- Andrew Stephen Asberry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.