Kiley Allen
Individual provider Active NPI Family Nurse Practitioner · Demorest, GA
NPI 1821837261 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1821837261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN302812 (GA)
- Practice address
- 815 Austin Dr
Demorest, GA 30535-4513 - Phone
- (706) 754-1034
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Jones Clinic, LLC
Practice addresses (Care Compare)
225 Adams Dr
Suite 2
Demorest, GA 30535-4577
Phone (706) 754-1034
Hospital & facility affiliations
- Northeast Georgia Medical Center Habersham
- Northeast Georgia Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617002773 | GA | Practitioner - Nurse Practitioner | 9234672494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN302812 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jones Clinic, LLC | Current |
Accepting new patients |
Locations
225 Adams Dr
Ste 2
Demorest, GA 30535
Phone (706) 754-1034
815 Austin Dr
Demorest, GA 30535
Phone (706) 754-6224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN302812 | GA | Yes |
Addresses
Primary practice location
815 Austin Dr
Demorest, GA 30535-4513
Mailing address
PO Box 550
Demorest, GA 30535-0550
Other providers in Demorest, GA
- Geneva Grace Aaron
- Shawn Alexander
- Amedisys Georgia LLC
- Tabatha P Anderson
- Juan Antonio
- Mary Faye Armour
- Aruana Emergency Physicians LLC
All providers in Demorest, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.