Andrea L Allyn, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30703 Issued in SC

Practice address

10110 Clemson Blvd
Seneca, SC 29678-0812

Phone

(864) 482-0500

Fax

(864) 482-0505

NPI assigned

Feb 3, 2006

Last updated

Jul 23, 2014By 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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aallyn94905@directwellstar.org
• Direct secure messaging: andrea.allyn.1@21043.direct.athenahealth.com

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.

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  dba WellStar Marietta Internal Medicine

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1154627727
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1851363733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601082",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601082",
            "telephone_number": "864-885-7989",
            "fax_number": "864-885-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 CLEMSON BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780812",
            "telephone_number": "864-482-0500",
            "fax_number": "864-482-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLYN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "30703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali's Fine Lingerie, LLC
• Martin Augustus Allen, M.D.
• Robert Stanley Allen, DO
• Tamira Allen
• Kiran Kumar Allu
• Alexis Almeida
• Xavier Alston
• Fredrick Michael Amatriain, CRNA
• American Medical Consultants, LLC
• Anderson Diagnostic Imaging, Inc (Seneca Diagnostic Imaging)

• Internal Medicine Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.