Individual provider Active NPI

Michelle Marie Allen, ARNP-C

  • Family Nurse Practitioner
  • Bonaire, GA
National Provider Identifier
1699199018
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN184598 Issued in GA
Practice address
774 Ga Hwy 96
Bonaire, GA 31005
Phone
(478) 988-5711
Fax
(478) 988-5712
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9283895 FL
Family Nurse Practitioner 363LF0000X RN184598 GA Primary

Addresses

Primary practice location

774 Ga Hwy 96
Bonaire, GA 31005

Mailing address

110 Abercorn St
Warner Robins, GA 31088-6782
Phone (850) 890-8518

Other practice location 1

330 Michele Dr
Panama City, FL 32404-3308
Phone (850) 890-8518

Other names 1

  • Ms. Michelle Marie Colton Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008000789 GA Practitioner - Nurse Practitioner 5991013179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Women'S Healthcare of Middle Ga, IncGroup PAC ID 8628063203, 20 clinicians

Practice addresses (Care Compare)

130 Byrd Way
Warner Robins, GA 31088-8937
Phone (478) 922-9136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9283895FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince May 26, 2015 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 27, 2026 Accepting new patients

Locations

774 Highway 96
Bonaire, GA 31005
Phone (478) 988-5711

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: michelle.allen@krogerhealth.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1699199018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ABERCORN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886782",
            "telephone_number": "850-890-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 GA HWY 96",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "31005",
            "telephone_number": "478-988-5711",
            "fax_number": "478-988-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Michele Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324043308",
            "country_code": "US",
            "telephone_number": "850-890-8518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9283895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "COLTON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonaire, GA

Sources for this page

Verify at the official NPI Registry.