Active NPI
Allyn Noelle Farmer, PA
- Surgical Physician Assistant
- Memphis, TN
National Provider Identifier
1891068631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10001395A
- Practice address
- 80 Humphreys Center Dr Ste 100
Memphis, TN 38120-2352 - Phone
- (901) 761-9030
- Fax
- (901) 761-9591
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 814 | AL | |
| Surgical Physician Assistant | 363AS0400X | 10001395A | IN | Primary |
Addresses
Primary practice location
80 Humphreys Center Dr Ste 100
Memphis, TN 38120-2352
Mailing address
PO Box 1000 Dept 245
Memphis, TN 38148-0001
Phone (901) 761-9030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000779998 | Other | IN | ANTHEM PROVIDER NUMBER |
| 2555 | Other | TN | TN MEDICAL LICENSE |
| PA 814 | Other | AL | STATE BOARD OF MEDICAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Alabama School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Humphreys Ctr Dr
Suite 100
Memphis, TN 38120-2352
Phone (901) 761-9030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555 | TN | MD | Professional Counselor |
| PA 814 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Neurodiagnostic Lab LLC | Past | Accepting new patients |
Interoperability endpoints
- afarmer22098@mlh.direct-ci.com
- allyn.farmer@psgm.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Memphis, TN
- NPI 1831102078
-
- Neurology Physician
- Pelham, AL
- NPI 1417165127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1891068631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000 DEPT 245",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-761-9030",
"fax_number": "901-761-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CENTER DR STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202352",
"telephone_number": "901-761-9030",
"fax_number": "901-761-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "ALLYN",
"middle_name": "NOELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA 814",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10001395A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000779998",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE",
"identifier": "2555",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF MEDICAL EXAMINERS",
"identifier": "PA 814",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.