MS. TRACY L. ALLEN (NPI# 1124036520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124036520 |
| Entity Type | Individual |
| Full Name | MS. TRACY L. ALLEN |
| Credential | P.A. |
| Practice Address |
101 Riverstone Vis Suite 111 Blue Ridge GA 30513-6648 |
| Practice Telephone | 7069464200 |
| Practice Fax Number | 7069464243 |
| Mailing Telephone | 7069464200 |
| Mailing Fax Number | 7069464243 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA-440 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005894 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003100897C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971648 | Tracy Delois Allen | Custodial Care Facility | 2734 N Wellesley Ave, Wichita, KS 67220-2408 | 2020-08-04 |
| 1326308636 | Tracy Mathews Allen | Nurse Practitioner | 1343 County Road 2005, Liberty, TX 77575-8709 | 2012-05-21 |
| 1750667259 | Tracy Lyn Allen | Registered Nurse | 189 Summer Street, Minute Clinic (inside Cvs), Kingston, MA 02364 | 2011-10-27 |
| 1356490064 | Tracy A Allen | Licensed Practical Nurse | 1961 Rome Greenwich Rd, Greenwich, OH 44837-9101 | 2007-01-10 |
| 1790708980 | Tracy Joe Allen | Physical Therapist | 3658 Bell Road, Nashville, TN 37214 | 2006-07-26 |
| 1770074148 | Tracy Marie Allen | Case Manager/Care Coordinator | 7806 Uplands Way, Citrus Heights, CA 95610-7567 | 2018-05-22 |
| 1740793538 | Tracy Michelle Allen | Social Worker | 1016 Wildwood Pkwy, Baltimore, MD 21229-1851 | 2017-11-15 |
| 1982953477 | Tracy Allen | Counselor | 18 Mollison Way, Lewiston, ME 04240 | 2012-08-30 |
| 1396986717 | Tracy Marie Allen | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2009-03-14 |
| 1093983199 | Tracy Allen | Social Worker | 216 N Washington St, Butler, PA 16001-5241 | 2008-02-12 |
| Street Address |
101 RIVERSTONE VIS SUITE 111 |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522262 | Frank Stanson Trigg | Internal Medicine | 101 Riverstone Vis, Suite 203, Blue Ridge, GA 30513-6648 | 2005-07-20 |
| 1194272542 | Lindsey Panter Niknezhad | Physician Assistant | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 | 2016-09-01 |
| 1255796082 | T and P Pharmacy | Pharmacy | 101 Riverstone Vis, Suite 107, Blue Ridge, GA 30513-6648 | 2015-12-21 |
| 1972978401 | Blue Ridge Dermatology | Physician Assistant | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2015-12-09 |
| 1629329792 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6648 | 2012-09-28 |
| 1639433022 | Jammie Adams Savugot | Nurse Practitioner | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6648 | 2012-06-29 |
| 1336410059 | Brittany Marie Newberry | Nurse Practitioner | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 | 2012-01-26 |
| 1386929222 | Marc S Berger Md PC | Family Medicine | 101 Riverstone Vis, Ste 217, Blue Ridge, GA 30513-6648 | 2011-10-11 |
| 1689954372 | Blue Ridge Dermatology | Dermatology | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2011-08-25 |
| 1043500457 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 103, Blue Ridge, GA 30513 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1760792246 | Med-trans Corporation | Ambulance | 482 Mccaysville Industrial Dr, Blue Ridge, GA 30513 | 2010-10-18 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| Find all providers in zip 30513 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272542 | Lindsey Panter Niknezhad | Physician Assistant | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 | 2016-09-01 |
| 1972978401 | Blue Ridge Dermatology | Physician Assistant | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIDGE |
| Zip Code | 30513 |
Please comment or provide details below to improve the information on MS. TRACY L. ALLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.