Allen Michael Vergen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014573 Issued in GA

Practice address

501 N Pierce St
Alma, GA 31510-2445

Phone

(912) 632-0872

Fax

(912) 632-0886

NPI assigned

Feb 4, 2009

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEBCAA

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.

• McKinney Medical Center Inc

  dba Mckinney Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Waycross, GA
  • NPI 1487665733
  Medicare reassignment NPD
• McKinney Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Folkston, GA
  • NPI 1548621089
  NPD
• McKinney Community Health Ctr, Inc

  • Federally Qualified Health Center (FQHC)
  • Blackshear, GA
  • NPI 1568623346
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1578701157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N PIERCE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102445",
            "telephone_number": "912-632-0872",
            "fax_number": "912-632-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N PIERCE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102445",
            "telephone_number": "912-632-0872",
            "fax_number": "912-632-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGEN",
        "first_name": "ALLEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricare Ambulance Service L.L.C.
• Brittany Turner, PMHNP-BC
• Unison Behavioral Health
• Unison Behavioral Health
• Unison Behavioral Health
• Walgreen Co (Walgreens #18095)
• Trent Ware, PT, DPT
• Memori McCarley Waters, CPNP-PC
• We Care Family Practice, Inc.
• Savannah Paige Welch, OT

• General Practice Dentistry in Alma, GA
• Providers in Alma, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.