NPIMap

Individual provider Active NPI

Gregory John Allen, M.D.

  • Family Medicine Physician
  • Ponchatoula, LA
National Provider Identifier
1952398356
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L018162 Issued in LA
Practice address
105 E Oak St
Ponchatoula, LA 70454-2619
Phone
(985) 386-6198
Fax
(985) 386-6223
NPI assigned
Sep 30, 2005
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L018162 LA Primary

Addresses

Primary practice location

105 E Oak St
Ponchatoula, LA 70454-2619

Mailing address

PO Box 129
Ponchatoula, LA 70454-0129
Phone (985) 386-6198

Other identifiers 1

IdentifierTypeStateIssuer
1950009MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000084 LA Practitioner - Family Practice 3779671896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen's Family Practice Clinic of Ponchatoula LLPGroup PAC ID 9032207360, 2 clinicians

Practice addresses (Care Compare)

105 E Oak St
Ponchatoula, LA 70454-2619

P O Box
Suite 129
Ponchatoula, LA 70454-0129

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18162LAMDClinical Social Worker
018162LAMDPharmacist
L018162LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen's Family Practice Clinic of Ponchatoula, L.L.P. Family Medicine CurrentSince Jan 1, 2000 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients

Locations

105 E Oak St
Ponchatoula, LA 70454
Phone (504) 386-6198

Interoperability endpoints

  • Direct secure messaging: gregoryallen@allensfp.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71800

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1952398356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704540129",
            "telephone_number": "985-386-6198",
            "fax_number": "985-386-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E OAK ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542619",
            "telephone_number": "985-386-6198",
            "fax_number": "985-386-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "L018162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950009",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.