Individual provider Active NPI

Allison G Dupont, M.D.

  • Interventional Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1669698510
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
063856 Issued in GA
Practice address
1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone
(404) 962-6000
Fax
(404) 962-6001
NPI assigned
Apr 18, 2007
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 063856 GA
Interventional Cardiology Physician 207RI0011X 063856 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609

Mailing address

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone (404) 962-6000

Other identifiers 7

IdentifierTypeStateIssuer
063856OtherGAGA MEDICAL LICENSE
057070011EMedicaidGA
057070011BMedicaidGA
057070011AMedicaidGA
057070011CMedicaidGA
057070011DMedicaidGA
057070011FMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Allison.Dupont@northsidehospital.cenerdirect.com Direct

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000870 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1850483371 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1255 Friendship Rd
Suite 210
Braselton, GA 30517-5619
Phone (404) 962-6000

1285 Upper Hembree Rd
Roswell, GA 30076-1143
Phone (770) 343-8565

2200 Medical Ctr Blvd
Suite 200
Lawrenceville, GA 30046-7765
Phone (404) 962-6000

2200 Medical Ctr Blvd
Suite G1
Lawrenceville, GA 30046-7751
Phone (404) 962-2500

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

470 Northside Cherokee Blvd
Canton, GA 30115-8029

6135 Barfield Rd
Suite 100
Sandy Springs, GA 30328-4308
Phone (678) 223-7928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063856GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Physician Group, LLC CurrentSince Oct 4, 2023 Accepting new patients
North Atlanta Professional Services LLC Cardiovascular Disease CurrentSince Aug 13, 2010 Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Oct 8, 2011 Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Oct 8, 2011 Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince May 1, 2011 Accepting new patients
Northeast Georgia Heart Center Cardiovascular Disease Current Accepting new patients
Northside Cardiovascular Professional Services, LLC Cardiovascular Disease CurrentSince Jun 1, 2024 Accepting new patients
Stephens County Hospital Physician Group LLC Current Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince May 1, 2011 Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
Stephens County Hospital Physician Group, LLC CurrentSince Oct 4, 2023 Accepting new patients
Stephens County Hospital Physician Group LLC Past Accepting new patients

Locations

1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309

77 Weaver Rd
#B
Blairsville, GA 30512
Phone (706) 439-6165

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (678) 312-3500

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

2200 Medical Center Blvd
Ste 220
Lawrenceville, GA 30046

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5667 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 851-5100

115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

230 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

Interoperability endpoints

  • Direct secure messaging: allison.dupont@northsidehospital.cenerdirect.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1669698510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "ALLISON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "063856",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "063856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "063856",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057070011E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057070011B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057070011A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057070011C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057070011D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057070011F",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Allison.Dupont@northsidehospital.cenerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1110 W Peachtree St NW Ste 920",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.