Joseph Corey Allen, M.D.
Individual provider Active NPI Urology Physician · Clayton, NC
NPI 1861652257 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1861652257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 2011-01856 (NC)
- Practice address
- 2076 NC Highway 42 W Ste 330
Clayton, NC 27520-5303 - Phone
- (919) 585-8100
- Fax
- (919) 585-8163
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Brody School of Medicine at East Carolina University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina MG LLC
Practice addresses (Care Compare)
2076 Veterans Pkwy
Suite 330
Clayton, NC 27520-5303
Phone (919) 585-8100
Hospital & facility affiliations
- Johnston Health
- Rex Hospital
- Unc Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, 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 |
|---|---|---|---|---|
| I20120816000467 | NC | Practitioner - Urology | 4688820178 | Reassigns benefits to 1 organization |
| I20140402001418 | SC | Practitioner - Urology | 4688820178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-125057 | IL | MD | Urology Physician |
| 2011-01856 | NC | MD | Urology Physician |
| 36583 | SC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Urology | Current |
Accepting new patients |
| Palmetto Adult and Childrens Urology PA | Urology | Current |
Accepting new patients |
Locations
2138 Veterans Pkwy
Clayton, NC 27520
Phone (919) 585-8000
2076 Veterans Pkwy
Ste 330
Clayton, NC 27520
Phone (919) 585-8100
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2890 Tricom St
North Charleston, SC 29406
Phone (803) 549-7122
Interoperability endpoints
- jallen227018@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 36583 | SC | |
| Urology Physician | 208800000X | 036-125057 | IL | |
| Urology Physician | 208800000X | 2011-01856 | NC | Yes |
Addresses
Primary practice location
2076 NC Highway 42 W Ste 330
Clayton, NC 27520-5303
Mailing address
2076 NC Highway 42 W Ste 330
Clayton, NC 27520-5303
Phone (919) 585-8100
Other practice location 1
2890 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7026 | Other | SC | MEDICARE GROUP |
| GP4871 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jallen227018@direct.UNC.nchie.net | Direct |
Other providers in Clayton, NC
- All Precious Home Care Agency
- All Precious Medical Equipment LLC
- Susan Kochanowicz All
- Allegiance Community Care LLC
- Caroline Allen
- Lee Brandon Allen
- Ty L Allen
- Alliance Physician Services, PC
- Alliantra Community Care Services LLC
- Steven Leon Allman
All providers in Clayton, NC · Urology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. 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.