Active NPI
Allen B Filstein, M.D.
- Dermatology Physician
- Conyers, GA
National Provider Identifier
1518968338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 017383
- Practice address
- 1349 Milstead Rd NE
Conyers, GA 30012-3871 - Phone
- (770) 785-7546
- Fax
- (770) 483-4159
- NPI assigned
- Aug 2, 2005
- Last updated
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 017383 | GA | Primary |
| Dermatopathology Physician | 207ND0900X | 017383 | GA | |
| Pediatric Dermatology Physician | 207NP0225X | 017383 | GA | |
| Procedural Dermatology Physician | 207NS0135X | 017383 | GA | |
| General Practice Physician | 208D00000X | 017383 | GA |
Addresses
Primary practice location
1349 Milstead Rd NE
Conyers, GA 30012-3871
Mailing address
2400 Bellevue Rd
Suite 21-a
Dublin, GA 31021-2885
Phone (478) 275-7202
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300073 | Other | EVERCARE | |
| 0565235 | Other | AETNA | |
| 2788 | Other | KAISER | |
| 070010646 | Other | RAILROAD MEDICARE | |
| 9912601 | Other | CIGNA | |
| 031625 | Other | UNITED HEALTHCARE | |
| 144127 | Other | BCBS |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley S Wilborn MD PC | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Metro Atlanta Dermatology Group
- Dermatology Physician
- Atlanta, GA
- NPI 1750554978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1518968338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BELLEVUE RD",
"address_2": "SUITE 21-A",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212885",
"telephone_number": "478-275-7202",
"fax_number": "478-274-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 MILSTEAD RD NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123871",
"telephone_number": "770-785-7546",
"fax_number": "770-483-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILSTEIN",
"first_name": "ALLEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "017383",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "GA",
"license": "017383",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "GA",
"license": "017383",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "GA",
"license": "017383",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "017383",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0300073",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0565235",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "2788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070010646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9912601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "031625",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "144127",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.