Individual provider Active NPI

Julie Allen, M.D.

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1912293200
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME153809 Issued in FL
Practice address
4998 10TH Ave N
Greenacres, FL 33463-2210
Phone
(561) 293-2900
Fax
(561) 412-5554
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 72884 GA
Family Medicine Physician 207Q00000X ME153809 FL Primary

Addresses

Primary practice location

4998 10TH Ave N
Greenacres, FL 33463-2210

Mailing address

4998 10TH Ave N
Greenacres, FL 33463-2210
Phone (561) 293-2900

Other practice location 1

2084 Headland Dr
East Point, GA 30344-2135
Phone (404) 965-5691

Other identifiers 1

IdentifierTypeStateIssuer
003153625AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211130001328 FL Practitioner - Family Practice 2567786817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

340 S Federal Hwy
Unit 101
Deerfield Beach, FL 33441-4132
Phone (954) 942-8177

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72884GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Georgia Holding, LLC CurrentSince Aug 3, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 6, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 6, 2021 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1220 University Blvd N
Jacksonville, FL 32211
Phone (904) 490-8700

9422 Arlington Expy
Jacksonville, FL 32225
Phone (904) 559-1844

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1912293200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2084 Headland Dr",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303442135",
            "country_code": "US",
            "telephone_number": "404-965-5691",
            "fax_number": "404-965-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JULIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "72884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME153809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153625A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.