Deborah Lynn Allen, PA-C
Individual provider Active NPI Physician Assistant · Sylva, NC
NPI 1972791879 · NPPES record last updated Sep 13, 2016
Key facts
- NPI
- 1972791879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-01068 (NC)
- Practice address
- 1 Hospital Rd
Caller Box C-268
Sylva, NC 28719-9213 - Phone
- (828) 497-9163
- Fax
- (828) 497-1723
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140401001067 | TX | Practitioner - Physician Assistant | 6204923816 | Reassigns benefits to 1 organization |
| I20230420000916 | NC | Practitioner - Family Practice | 6204923816 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-01068 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Indian Hospital Authority | Current |
Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01068 | NC | Yes |
Addresses
Primary practice location
1 Hospital Rd
Caller Box C-268
Sylva, NC 28719-9213
Mailing address
1 Hospital Rd
Caller Box C-268
Sylva, NC 28719-9213
Phone (828) 497-9163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161K4 | Other | NC | BLUE CROSS BLUE SHIELD |
| 1972791879 | Medicaid | NC |
Other providers in Sylva, NC
- Faisal M Adam
- Maqbool Ahmed Adam
- Adults Working and Advocating for Kids' Empowerment Inc
- Advanced Home Care, Inc.
- Katie Hampton Aldridge
- Joshua Baram Alweiss
- American Oncology Partners, P.a.
- Kayleigh Jean Ammons
- Martha Frances Anderson
- Tyler Patrick Anderson
All providers in Sylva, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.