John Alex Allen, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

052330 Issued in GA

Practice address

709 Breedlove Dr
Monroe, GA 30655-2055

Phone

(678) 635-3500

NPI assigned

Jun 8, 2005

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vest Monroe, LLC

  dba Ridgeview Institute Monroe

  • Psychiatric Hospital
  • Monroe, GA
  • NPI 1073069944
  Medicare reassignment NPD
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • Other Specialist/Technologist
  • Aiken, SC
  • NPI 1316955875
  Medicare reassignment NPD
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  NPD
• Aiken Regional Medical Centers, LLC.

  dba Aiken Regional Medical Centers Psychiatric Physician Services

  • Psychiatry Physician
  • Aiken, SC
  • NPI 1407988637
  NPD
• Aiken Professional Association, LLC

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1639479801
  NPD (past)
• Aiken Psychiatric and Psychotherapy Associates PA

  • Psychiatry Physician
  • Aiken, SC
  • NPI 1114995099
  NPD (past)
• Aiken Psychotherapy

  • Clinical Nurse Specialist
  • Aiken, SC
  • NPI 1659543262
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1922002815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BREEDLOVE DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552055",
            "telephone_number": "678-635-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BREEDLOVE DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552055",
            "telephone_number": "678-635-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "27598",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "052330",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "27598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003142497D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052330",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275981",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA77689636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alcovy Family Medicine, LLC
• Alcovy Spring Counseling Services
• Tiffany Samantha Alewine
• Nicole Rufina Alexander, LCSW
• Jane McCurdy Allen, RNFA
• Leigh Massey Allen, PHARM D, BCACP, BCGP
• Matthew Bradford Allgood, PT, DPT
• Amedisys Georgia LLC (Amedisys Home Health Care)
• Oyovwike Sandra Amedu, MD
• Brittany Lynn Anderson, NP

• Child & Adolescent Psychiatry Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.