NPIMap

Individual provider Active NPI

John C. Allen, M.D.

  • Hematology & Oncology Physician
  • Oxford, MS
National Provider Identifier
1417275652
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
24648 Issued in MS
Practice address
504 Azalea Dr Ste a
Oxford, MS 38655-5397
Phone
(662) 236-7738
Fax
(662) 236-9642
NPI assigned
May 12, 2010
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 51509 TN
Internal Medicine Physician 207R00000X 51509 TN
Internal Medicine Physician 207R00000X 0101254562 VA
Hematology & Oncology Physician 207RH0003X 24648 MS Primary

Addresses

Primary practice location

504 Azalea Dr Ste a
Oxford, MS 38655-5397

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

301 S 28th Ave
Hattiesburg, MS 39401-7233
Phone (601) 261-1700

Other practice location 2

1300 Sunset Dr Ste Q
Grenada, MS 38901-4084
Phone (662) 294-9101

Other identifiers 1

IdentifierTypeStateIssuer
05001549MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919003718 MS Practitioner - Hematology/Oncology 5496981367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Mississippi School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Oxford, MS 38655-4476
Phone (662) 636-4333

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631

255 Baptist Blvd
Columbus, MS 39705-2006

504 Azalea Dr
Suite a
Oxford, MS 38655-5397
Phone (662) 636-4444

81 Ed Perry Blvd
Oxford, MS 38655-3465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Jul 1, 2018 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Jul 1, 2018 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2018 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Internal Medicine Past Accepting new patients
Baptist Memorial Hospital Union County, Inc. Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1300 Sunset Dr
Ste Q
Grenada, MS 38901
Phone (662) 294-9101

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1417275652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 AZALEA DR STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555397",
            "telephone_number": "662-236-7738",
            "fax_number": "662-236-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017233",
            "country_code": "US",
            "telephone_number": "601-261-1700",
            "fax_number": "601-288-8290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sunset Dr Ste Q",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389014084",
            "country_code": "US",
            "telephone_number": "662-294-9101",
            "fax_number": "662-294-9104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "51509",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "51509",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254562",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "24648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05001549",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.