Allen Dermatology & Skin Cancer Ctr

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALLEN DERMATOLOGY & SKIN CANCER CTR

Practice address

520 Charter Blvd
Suite 100
Macon, GA 31210-4871

Phone

(478) 477-6700

Fax

(478) 757-8135

NPI assigned

Nov 4, 2009

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Hawkins Allen, M.D.NPI 1922160811

Title

Ownder

Phone

(478) 477-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Hawkins Allen, M.D.

  • Dermatology Physician
  • Macon, GA
  • NPI 1922160811
  Medicare reassignment Care Compare group NPD Authorized official
• Virginia Childs Hall, M.D.

  • Dermatology Physician
  • Macon, GA
  • NPI 1073501276
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1962739417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CHARTER BLVD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104871",
            "telephone_number": "478-477-6700",
            "fax_number": "478-757-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CHARTER BLVD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104871",
            "telephone_number": "478-477-6700",
            "fax_number": "478-757-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN DERMATOLOGY & SKIN CANCER CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HAWKINS",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "478-477-6700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Care Home Health, LLC (All Care)
• Manoj Reddy Allala, MD
• Steven Dean Allee, M.D.
• Allegiant Anesthesia Solutions LLC
• Allegiant Anesthesia, LLC
• Bruce Stuart Allen, M.D.
• Carol Ashley Allen, LCSW
• Dehazard Allen III, BCBA
• Grace Allen
• Jennifer Hawkins Allen, M.D.

• Dermatology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.