Allie E Thomas-Fannin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01076813A Issued in IN

Practice address

121 Buntin St
Suite #1
Vincennes, IN 47591-1320

Phone

(812) 885-2718

Fax

(812) 885-2727

NPI assigned

Apr 5, 2012

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, MD, DC3 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 3

Specialty

Psychiatry

Education

University of Louisville School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians

Good Samaritan HospitalGroup PAC ID 9436061918, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
• Medstar Saint Mary's Hospital Hospital, Leonardtown, MD, CCN 210028
• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allie.thomas-fannin.1@28065.direct.athenahealth.com
• Direct secure messaging: athomasfannin122357@direct.deaconess.com

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.

• Good Samaritan Hospital

  dba Samaritan Center

  • Clinic/Center
  • Vincennes, IN
  • NPI 1639176373

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Axis Healthcare Group

  dba CareMind Health

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1326295098

  DC

  Medicare reassignment Care Compare group NPD
• Good Samaritan Family Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1174031256
  Medicare reassignment NPD
• Good Samaritan Family Health Center, Inc.

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1063302545
  NPD
• Good Samaritan Hospital

  dba Good Samaritan Washington Primary Care

  • Rural Health Clinic/Center
  • Washington, IN
  • NPI 1770370603
  NPD
• Good Samaritan Hospital Physician Services, Inc

  • Hospitalist Physician
  • Vincennes, IN
  • NPI 1649432071
  NPD
• Good Samaritan Family Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1033827621
  NPD (past)
• Good Samaritan Family Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Loogootee, IN
  • NPI 1124736715
  NPD (past)
• Good Samaritan Family Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1518676907
  NPD (past)
• Good Samaritan Family Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1629787767
  NPD (past)
• Good Samaritan Family Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vincennes, IN
  • NPI 1679282164
  NPD (past)
• Good Samaritan Family Health Center, Inc.

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Petersburg, IN
  • NPI 1780392373
  NPD (past)

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

• Good Samaritan Hospital

  dba Center for Therapy and Sports Performance

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vincennes, IN
  • NPI 1073153474

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Vincennes, IN
  • NPI 1225032881
  Care Compare affiliation
• Medstar Southern Maryland Hospital Center Inc

  dba MedStar Southern Maryland Hospital

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693
  Care Compare affiliation
• St Marys Hospital of St Marys County Inc

  dba MedStar St. Mary's Hospital

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1942566708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911034",
            "telephone_number": "812-886-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BUNTIN ST",
            "address_2": "SUITE #1",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911320",
            "telephone_number": "812-885-2718",
            "fax_number": "812-885-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS-FANNIN",
        "first_name": "ALLIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01076813A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201364350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Taylor, LCSW
• Mellissa Taylor, PHARMD
• Jessica Tedrow
• Jill L Templin, PTA
• Andrea Marie Tennis, BSN, RN
• Alicia F Thomas, ATC
• Allison Brooke Thomas, MD
• Leah Jade Thomas
• Erika Thompson, LSW
• Laci L Thornton, MSN, APRN, FNP-BC

• Psychiatry Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
• 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.

Verify at the official NPI Registry.