Individual provider Active NPI

Bianca Ansu Allison, M.D.

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1619321189
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
218092 Issued in NC
Practice address
1512 E Franklin St Ste 100
Chapel Hill, NC 27514-2816
Phone
(984) 974-6669
Fax
(984) 974-9609
NPI assigned
Apr 20, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 218092 NC Primary

Addresses

Primary practice location

1512 E Franklin St Ste 100
Chapel Hill, NC 27514-2816

Mailing address

215 Aqua Marine LN
Knightdale, NC 27545-7869
Phone (315) 391-5414

Other practice location 1

122 Edisto Ct
Chapel Hill, NC 27514-1667
Phone (315) 391-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807000686 NC Practitioner - Pediatric Medicine 5890086722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218092NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2019 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1512 E Franklin St
Ste 100
Chapel Hill, NC 27514
Phone (919) 240-7269

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

6013 Farrington Rd
Ste 301
Chapel Hill, NC 27517
Phone (984) 974-4191

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619321189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 AQUA MARINE LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457869",
            "telephone_number": "315-391-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E FRANKLIN ST STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142816",
            "telephone_number": "984-974-6669",
            "fax_number": "984-974-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Edisto Ct",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141667",
            "country_code": "US",
            "telephone_number": "315-391-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "BIANCA",
        "middle_name": "ANSU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "218092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.