Individual provider Active NPI

Simon John Allport, MD

  • Gastroenterology Physician
  • Hickory, NC
National Provider Identifier
1730166554
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9900007 Issued in NC
Practice address
1771 Tate Blvd SE Ste 101
Hickory, NC 28602-4250
Phone
(828) 304-2527
Fax
(288) 256-1601
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9900007 NC Primary

Addresses

Primary practice location

1771 Tate Blvd SE Ste 101
Hickory, NC 28602-4250

Mailing address

1771 Tate Blvd SE Ste 101
Hickory, NC 28602-4250
Phone (283) 042-5278

Other identifiers 1

IdentifierTypeStateIssuer
891195RMedicaidNC

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
I20100819000512 NC Practitioner - Gastroenterology 7416059852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1771 Tate Blvd SE
Suite 101
Hickory, NC 28602-4250
Phone (828) 315-5110

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9900007NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
DLP Frye Medical Group LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

1771 Tate Blvd SE
Ste 101
Hickory, NC 28602
Phone (828) 315-5110

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

Interoperability endpoints

  • Direct secure messaging: simon.allport.1@15786.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1730166554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "283-042-5278",
            "fax_number": "828-256-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "828-304-2527",
            "fax_number": "288-256-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLPORT",
        "first_name": "SIMON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "9900007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891195R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.