Stephanie A Allen, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

050090 Issued in GA

Practice address

355 Hawthorne LN
Athens, GA 30606-2153

Phone

(706) 369-0019

Fax

(706) 369-1989

NPI assigned

Mar 1, 2006

Last updated

Aug 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Athens Obstetrics and Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1215436043
  NPD (past)
• Atlanta Women's Health Group, P.C.

  • Obstetrics & Gynecology Physician
  • Sandy Springs, GA
  • NPI 1013971753
  NPD (past)
• Atlanta Women's Health Group, P.C.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1720946858
  NPD (past)
• Northside Hospital, Inc.

  dba Northside Gwinnett Joan Glancy

  • Rehabilitation Hospital Unit
  • Duluth, GA
  • NPI 1134168016
  NPD (past)
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)
• Women's Healthcare Associates of Athens, LLC

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1033618806
  NPD (past)
• Women's Healthcare Associates, P.C

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1649385436
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1811964547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY ROAD",
            "address_2": "SUITE 300",
            "city": "ATANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-1224",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062153",
            "telephone_number": "706-369-0019",
            "fax_number": "706-369-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "050090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000911732E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Allen
• Jonhenry Wayne Allen, DO
• Lauren Elizabeth Allen
• Martha Edmonds Allen, ND,LAC
• Sara L Allen
• Allergy Partners, PLLC
• Allied Ankle & Footcare Centers, P.C.
• Allison Kennamer LLC
• Suliman Salah Almohtasib, M.D.
• Yvonne H Almond

• Obstetrics & Gynecology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.