Individual provider Active NPI

Krystal Allen, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1740782002
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP218368 Issued in GA
Practice address
200 Galleria Pkwy SE
Atlanta, GA 30339-5918
Phone
(800) 893-9698
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP218368 GA Primary

Addresses

Primary practice location

200 Galleria Pkwy SE
Atlanta, GA 30339-5918

Mailing address

3381 Open Fields Dr
Snellville, GA 30078-4573

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
I20181218000004 GA Practitioner - Nurse Practitioner 1254676406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Walker Lake Emergency Group PCGroup PAC ID 0840531919, 31 clinicians
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

1305 Jennings Mill Rd
Suite 120
Watkinsville, GA 30677-7241
Phone (706) 410-2005

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone (770) 931-6026

4763 Atlanta Hwy
Suite 420
Loganville, GA 30052-6788
Phone (404) 395-6793

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP218368GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Jan 7, 2019 Accepting new patients
Wellstreet of Georgia PC CurrentSince Oct 1, 2021 Accepting new patients
Walker Lake Emergency Group, PC CurrentSince May 11, 2020 Accepting new patients
The Southeast Permanente Medical Group CurrentSince May 12, 2025 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1834 Clairmont Rd
Ste 100
Decatur, GA 30033
Phone (404) 634-4443

3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Organizations & group practices 5

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1740782002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 OPEN FIELDS DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395918",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRYSTAL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP218368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.