Active NPI
Shawn Patrice Allen, M.D.
- Psychiatry Physician
- Tucker, GA
National Provider Identifier
1437316635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 038168
- Practice address
- 1479 Brockett Rd Ste 101
Tucker, GA 30084-7326 - Phone
- (404) 625-5427
- Fax
- (404) 508-8944
- NPI assigned
- May 16, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 038168 | GA | Primary |
Addresses
Primary practice location
1479 Brockett Rd Ste 101
Tucker, GA 30084-7326
Mailing address
1633 Spruce Pine CT SW
Lilburn, GA 30047-5671
Phone (404) 630-5831
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1479 Brockett Rd
Suite 101
Tucker, GA 30084-7326
Phone (404) 625-5427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038168 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris 180, Inc. | Current | Accepting new patients |
Locations
1017 Fayetteville Rd SE
Atlanta, GA 30316
Phone (404) 324-4190
3103 Clairmont Rd NE
Ste B
Brookhaven, GA 30329
Phone (678) 302-1945
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Tucker, GA
- NPI 1558549337
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1134257827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1437316635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 SPRUCE PINE CT SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475671",
"telephone_number": "404-630-5831",
"fax_number": "404-508-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD STE 101",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "404-625-5427",
"fax_number": "404-508-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SHAWN",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "038168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Gabriel Aligwekwe, PHARMD
- Zoubin Alikhani, M.D.
- All Health Physical Therapy
- All Health Physical Therapy Inc
- Harriett Laschell Allen
- Alliance for Change Through Treatment, LLC
- Alliance for Change Through Treatment, LLC
- Zakaria Mohd Wahbi Almuwaqqat, M.D
- Altruistic Adult Daycare
- Amare Home Care Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.