Individual provider Active NPI

Caley Cranford Allen, FNP-C

  • Registered Nurse
  • Cochran, GA
National Provider Identifier
1821619362
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN255013 Issued in GA
Practice address
150 E Peacock St Ste a
Cochran, GA 31014-7847
Phone
(478) 271-3200
Fax
(478) 271-3205
NPI assigned
May 6, 2020
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN255013 GA
Registered Nurse 163W00000X RN255013 GA Primary

Addresses

Primary practice location

150 E Peacock St Ste a
Cochran, GA 31014-7847

Mailing address

150 E Peacock St Ste a
Cochran, GA 31014-7847
Phone (478) 271-3200

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
I20230621000490 GA Practitioner - Nurse Practitioner 4385043157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Center of Middle Georgia, LLCGroup PAC ID 8628216314, 4 clinicians

Practice addresses (Care Compare)

2400 Bellevue Rd
Suite 26
Dublin, GA 31021-2893
Phone (941) 404-1851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as group
Quality
75.65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN255013GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Middle Georgia, LLC CurrentSince Feb 27, 2023 Accepting new patients

Locations

2400 Bellevue Rd
Ste 26
Dublin, GA 31021
Phone (478) 272-8266

Organizations & group practices 1

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.

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1821619362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PEACOCK ST STE A",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147847",
            "telephone_number": "478-271-3200",
            "fax_number": "478-271-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PEACOCK ST STE A",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147847",
            "telephone_number": "478-271-3200",
            "fax_number": "478-271-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CALEY",
        "middle_name": "CRANFORD",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN255013",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN255013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cochran, GA

Sources for this page

Verify at the official NPI Registry.