ALLEN SURGICAL LLC (NPI# 1346755998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346755998 |
| Entity Type | Organization |
| Organization Name | ALLEN SURGICAL LLC |
| Practice Address |
3689 Mountain Rd Ne Marietta GA 30066-2411 |
| Practice Telephone | 4047319408 |
| Practice Fax Number | 7703210520 |
| Mailing Telephone | 4047319408 |
| Mailing Fax Number | 7703210520 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | LISA R ALLEN (CEO- OWNER) |
| Authorized Official Telephone | 4047319408 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN085201 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3689 MOUNTAIN RD NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1356996748 | Katrina Nicole Likes | Nurse Practitioner | 2965 Johnson Ferry Rd Ste D, Marietta, GA 30062-8364 | 2019-08-02 |
| 1205488822 | Deborah Patterson Ott | Nurse Practitioner | 1165 Timberland Dr Se, Marietta, GA 30067-5120 | 2019-07-13 |
| 1922664754 | Amanda Lynn Mcelheney | Nurse Practitioner | 1997 Cheatham Woods Dr Sw, Marietta, GA 30008-4451 | 2019-05-16 |
| 1477020295 | Candi Holyfield | Nurse Practitioner | 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 | 2018-10-30 |
| 1437660305 | Tara Randall | Nurse Practitioner | 2810 Tanner Lake Trl Nw, Marietta, GA 30064-1200 | 2017-10-19 |
| 1487006912 | Tara B Pickens | Nurse Practitioner | 401 Matthew St Ste 200, Marietta, OH 45750-1635 | 2016-07-08 |
| 1528420452 | Shakia Frisby | Nurse Practitioner | 124 Powers Ferry Rd Se Ste E, Marietta, GA 30067-7579 | 2016-03-21 |
| 1912371782 | Renee Bateman Brown | Nurse Practitioner | 488 Kennesaw Ave Nw Ste 200, Marietta, GA 30060 | 2015-11-17 |
| 1669808374 | Melissa Lamb Kiser | Nurse Practitioner | 3430 Weymouth Ct, Marietta, GA 30062-4287 | 2013-09-26 |
| Find all providers in MARIETTA | ||||
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| 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.