Allahna Allybia Coggins, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Vidalia, GA
NPI 1861454977 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1861454977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 73084 (GA)
- Practice address
- 101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474-8852 - Phone
- (912) 537-1014
- Fax
- (912) 538-0979
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fetter Health Care Network Inc
Practice addresses (Care Compare)
106 W Main St
Moncks Corner, SC 29461-2601
Phone (843) 761-1995
120 Varnfield Dr
Summerville, SC 29483-7313
35 Walnut St
Charleston, SC 29403-4514
Phone (843) 723-9477
3627 Maybank Hwy
Johns Island, SC 29455-4825
Phone (843) 628-0284
51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050817000157 | SC | Practitioner - Obstetrics/Gynecology | 2365472602 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73084 | GA | MD | Obstetrics & Gynecology Physician |
| 27805 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Southeast Regional Primary Care Corporation | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Fetter Health Care Network Inc | Current |
Accepting new patients |
Locations
51 Nassau St
Charleston, SC 29403
35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477
3627 Maybank Hwy
Johns Island, SC 29455
Phone (843) 559-3627
106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995
403 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 761-8282
6401 Dorchester Rd
North Charleston, SC 29418
Phone (843) 207-3019
679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600
130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444
5117 Baptist Hill Rd
Yonges Island, SC 29449
Phone (843) 723-9582
Interoperability endpoints
- allahna.coggins@srpcc.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27805 | SC | |
| Obstetrics & Gynecology Physician | 207V00000X | 73084 | GA | Yes |
Addresses
Primary practice location
101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474-8852
Mailing address
101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Phone (912) 537-1014
Other practice location 1
1707 Meadows Ln Ste A
Vidalia, GA 30474-7201
Phone (912) 537-1014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210973 | Other | MA | STATE LIMITED LISENCE |
| 278050 | Medicaid | SC | |
| 073084 | Other | GA | STATE LICENSE |
| 27805 | Other | SC | STATE LISENCE |
| 20-27805 | Other | SC | STATE CONTROLLED SUBST |
Other providers in Vidalia, GA
- Cheryl Taylor Cliff
- Kristin Clifton
- Henry D Cline
- Mymie T Clinton
- Adam Joseph Cobb
- Julie Castleman Coleman
- Katherine Collins
- Paige Collins
- Gwynn S Colvin
- Angela Combs
All providers in Vidalia, GA · Obstetrics & Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.