John Coghlan Allen
Individual provider Active NPI Ophthalmology Physician · Morrow, GA
NPI 1679969935 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1679969935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 82817 (GA)
- Practice address
- 1000 Corporate Center Dr Ste 100
Morrow, GA 30260-4106 - Phone
- (770) 968-8888
- NPI assigned
- Apr 13, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Care Centers Management, Inc
Practice addresses (Care Compare)
1000 Corporate Ctr Dr
Suite 100
Morrow, GA 30260-4106
Phone (770) 968-8888
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 99.1
- Improvement activities
- 40
- Cost
- 79.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 171 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190625001497 | GA | Practitioner - Ophthalmology | 2466786421 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82817 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Centers Management Inc | Ophthalmology | Current |
Accepting new patients |
| Eye Care Centers Management Inc | Ophthalmology | Current |
Accepting new patients |
Locations
500 Plaza Pkwy
McDonough, GA 30253
Phone (770) 968-8888
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260
Phone (770) 968-8888
60 Oak Hill Blvd
Newnan, GA 30265
Phone (770) 683-8637
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 82817 | GA | Yes |
Addresses
Primary practice location
1000 Corporate Center Dr Ste 100
Morrow, GA 30260-4106
Mailing address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-2020
Other practice location 1
3031 Mount Hill Dr
Midlothian, VA 23113-3923
Phone (804) 814-0893
Other providers in Morrow, GA
- Olakunle Adegbile
- Kenneth Emeka Akalonu
- Abosede Idowu Akintan
- Cierra Yvonne Allen
- Latricia Love Allen
- Sharon Alston
- Alzheimer'S Services Center, Inc
- Heather Nicole Ambrosia
- AMC Family Medicine
All providers in Morrow, GA · Ophthalmology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.