Active NPI
Herman Albert Allison, FNP
- Family Nurse Practitioner
- Southern Pines, NC
National Provider Identifier
1578070843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5010134
- Practice address
- 760 C NW Broad St
Southern Pines, NC 28387-4102 - Phone
- (916) 431-0236
- Fax
- (855) 259-0680
- NPI assigned
- Jan 8, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5010134 | NC | Primary |
Addresses
Primary practice location
760 C NW Broad St
Southern Pines, NC 28387-4102
Mailing address
760C NW Broad St
Southern Pines, NC 28387-4102
Phone (916) 431-0236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010134 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortified Med PLLC | Current | Accepting new patients | |
| Thrive Health & Wellness, Inc. | Current | Accepting new patients | |
| Piedmont Physical Medicine PLLC | Current | Accepting new patients |
Locations
4146 Mendenhall Oaks Pkwy
Ste 105
High Point, NC 27265
Phone (336) 740-9580
760C NW Broad St
Southern Pines, NC 28387
Phone (916) 431-0236
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Southern Pines, NC
- NPI 1174204879
-
- Physical Medicine & Rehabilitation Physician
- High Point, NC
- NPI 1053042606
-
- Clinic/Center
- Southern Pines, NC
- NPI 1497337513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1578070843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760C NW BROAD ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874102",
"telephone_number": "916-431-0236",
"fax_number": "855-259-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 C NW BROAD ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874102",
"telephone_number": "916-431-0236",
"fax_number": "855-259-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "HERMAN",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2024-06-12",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5010134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.