Organization Active NPI

R. Michael Allen, MDPC

  • Psychiatry Physician
  • Lawrenceville, GA
National Provider Identifier
1427220680
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
045692 Issued in GA
Legal business name
R. MICHAEL ALLEN, MDPC
Practice address
250 Scenic Hwy
Lawrenceville, GA 30045-5675
Phone
(404) 609-0318
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
R Michael Allen, MD
Title
President
Phone
(404) 609-0318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 045692 GA Primary

Addresses

Primary practice location

250 Scenic Hwy
Lawrenceville, GA 30045-5675

Mailing address

250 Scenic Hwy
Lawrenceville, GA 30045-5675

National Provider Directory

National Provider Directory

Locations

4015 S Cobb Dr SE
Ste 110B
Smyrna, GA 30080
Phone (770) 434-5100

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1427220680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455675",
            "telephone_number": "404-609-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. MICHAEL ALLEN, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-609-0318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "045692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.