Individual provider Active NPI

Gary Blaine Allen

  • Student in an Organized Health Care Education/Training Program
  • Greenville, NC
National Provider Identifier
1902554488
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
600 Moye Blvd
Greenville, NC 27834-4354
Phone
(252) 328-6131
NPI assigned
Mar 14, 2022
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

600 Moye Blvd
Greenville, NC 27834-4354

Mailing address

2201 Childrens Way
Nashville, TN 37212-3164
Phone (615) 322-0738

Other practice location 1

1444 Treybrooke Cir
Greenville, NC 27834-9159
Phone (919) 631-3250

Other practice location 2

2201 Children's Way
Nashville, TN 37232-4354
Phone (615) 322-0738

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717000844 TN Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Physical Medicine and Rehabilitation 3476913914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: gallen767623@direct.vumc.org

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1902554488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHILDRENS WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123164",
            "telephone_number": "615-322-0738",
            "fax_number": "615-322-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344354",
            "telephone_number": "252-328-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 Treybrooke Cir",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278349159",
            "country_code": "US",
            "telephone_number": "919-631-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Children's Way",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372324354",
            "country_code": "US",
            "telephone_number": "615-322-0738",
            "fax_number": "615-322-4586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GARY",
        "middle_name": "BLAINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.