Kathy Stukes Allan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34959 Issued in GA

Practice address

740 Ferst Drive
Atlanta, GA 30332-0470

Phone

(404) 894-1429

Fax

(404) 385-0717

NPI assigned

Aug 13, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Georgia Institute of Technology Stamps Health Services

  • Student Health Clinic/Center
  • Atlanta, GA
  • NPI 1043352016
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649462896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FERST DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-894-1424",
            "fax_number": "404-385-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FERST DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-894-1429",
            "fax_number": "404-385-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "KATHY",
        "middle_name": "STUKES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "34959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00479135A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENCE NUMBER",
            "identifier": "34959",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All-1-Family, Inc.
• All-Around Therapy
• Lauren Carol Allain, FNP-BC
• John Miller Allan, MD
• Josian Allan, CRNA
• Michael A Allan, MD
• Malena Allbright
• Allcare Ga PC
• Allegiance Community Care, LLC (Acc)
• Allegiance Personal Care Home

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.