| NPI | 1164476149 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-22 |
| Last Updated | 2022-01-12 |
| Mailing Address | 2400 Mount Zion Pkwy Jonesboro, GA 30236-2500 United States Phone: (404) 365-0966 📍 View Map |
| Primary Practice Address | 2400 Mt. Zion Parkway Kaiser Permanente, Southwood Comprehensive Medical Center Jonesboro, GA 30236 United States Phone: (770) 365-0966 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207P00000X – Emergency Medicine | NC | 2009-00161 |
| Yes | 207P00000X – Emergency Medicine | GA | 062095 |
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About NPI 1164476149
Stanley Llewellyn Allen MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164476149. The primary specialty listed is Emergency Medicine. The provider is located in Jonesboro, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164476149?
NPI 1164476149 belongs to Stanley Llewellyn Allen MD, a Emergency Medicine in Jonesboro, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164476149 active?
The current status of NPI 1164476149 in the NPPES registry is Active. The record was last updated on 2022-01-12.
What specialty is NPI 1164476149?
NPI 1164476149 is classified under the taxonomy Emergency Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164476149?
You can verify NPI 1164476149 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164476149?
The primary practice address on file for NPI 1164476149 is 2400 Mt. Zion Parkway Kaiser Permanente, Jonesboro, GA 30236. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164476149 issued?
NPI 1164476149 was first issued (enumerated) on 2006-05-22. The NPPES record was last updated on 2022-01-12.
Practice Location Map
Stanley Llewellyn Allen is located at 2400 Mt. Zion Parkway Kaiser Permanente, Jonesboro, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stanley Llewellyn Allen. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164476149. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Emergency Medicine | 2009-00161 | NC |
| Emergency Medicine | 062095 | GA |