MR. JOHN ALEX ALLEN (NPI# 1922002815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922002815 |
| Entity Type | Individual |
| Full Name | MR. JOHN ALEX ALLEN |
| Credential | MD |
| Practice Address |
655 Medical Park Dr Aiken SC 29801-6415 |
| Practice Telephone | 8036415900 |
| Practice Fax Number | 8036432002 |
| Mailing Telephone | 8036415900 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
27598 | SC | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
27598 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE | AA77689636 | 01 |
| SC | 275981 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959130 | John Tanner Allen | Physical Therapist | 1110 Clover Hill Rd, Valdosta, GA 31602-1208 | 2019-12-19 |
| 1417516618 | John R Allen | Community Health Worker | 428 N Cass Ave, Westmont, IL 60559-1502 | 2019-06-11 |
| 1518459064 | John Allen | Military Health Care Provider | Rr612 Everrett Creek Road, Camp Lejeune, NC 28542 | 2018-05-31 |
| 1326455064 | John Allen | Specialist/Technologist | 17 Brewster Ave, Stony Point, NY 10980-1605 | 2014-07-15 |
| 1154630192 | John T. Allen | Behavioral Analyst | 4895 E Russell Rd, #308, Las Vegas, NV 89120-4503 | 2010-09-24 |
| 1639495492 | John Leatherbury Allen | Internal Medicine | 3853 Byrnwyck Pl Ne, Brookhaven, GA 30319-1658 | 2010-04-19 |
| 1912142720 | John Michael Allen | Surgery | 300 Medical Dr Ste 707, Lagrange, GA 30240-4130 | 2008-12-08 |
| 1861665697 | John Damon Allen | Physical Medicine & Rehabilitation | 4000 Coliseum Dr Ste 340, Hampton, VA 23666-5904 | 2008-04-13 |
| 1861670937 | John Michael Allen | Counselor | 375 W Tamarack Ln, Prescott, AZ 86301-1250 | 2008-01-31 |
| 1083803456 | John P Allen | Psychologist | 2009 Carriage Ct, Vienna, VA 22181-2923 | 2007-10-22 |
| Street Address |
655 MEDICAL PARK DR |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093979809 | Jaya Bindu Merugu | Psychiatry & Neurology | 655 Medical Park Dr, Aiken, SC 29801-6415 | 2008-07-11 |
| 1407988637 | Aiken Regional Medical Centers, LLC. | Psychiatry & Neurology | 655 Medical Park Dr, Aurora Pavilion Behavioral, Aiken, SC 29801 | 2007-03-12 |
| 1710078258 | Merry A Deleon | Psychiatry & Neurology | 655 Medical Park Dr, Aiken, SC 29801 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995099 | Aiken Psychiatric and Psychotherapy Associates Pa | Psychiatry & Neurology | 33 Varden Dr, Aiken, SC 29803-5285 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
| 1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
| 1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
| 1881803641 | Ajay Sood | Psychiatry & Neurology | 255 King St, Charleston, SC 29401-1435 | 2007-05-21 |
| 1619023876 | Marietta M. Chua | Psychiatry & Neurology | 4 Sweet Gum Ln, Hilton Head Island, SC 29928-4207 | 2007-01-28 |
| 1083704837 | Kimberly Monique Bush | Psychiatry & Neurology | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2006-10-13 |
| 1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
| 1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
| 1053359851 | Ayanna Swinton Jamison | Psychiatry & Neurology | 2601 Read St Ste I-10, Columbia, SC 29204-7861 | 2006-06-03 |
| 1144271867 | Laureen Judy Noll | Psychiatry & Neurology | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.