| NPI | 1386628907 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-12-06 |
| Last Updated | 2023-09-14 |
| Mailing Address | 140 Allen Court North Augusta, SC 29860-1101 United States Phone: (803) 510-0007 | Fax: (803) 510-0144 📍 View Map |
| Primary Practice Address | 140 Allen Court North Augusta, SC 29860-1101 United States Phone: (803) 510-0007 | Fax: (803) 510-0144 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000477969E | - |
| MEDICAID | SC | G25091 | - |
| MEDICAID | SC | GPA917 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2080A0000X – Pediatrics, Adolescent Medicine | GA | 025091 |
| Yes | 208000000X – Pediatrics | SC | 28313 |
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About NPI 1386628907
John David Allen MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1386628907. The primary specialty listed is Pediatrics. The provider is located in North Augusta, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1386628907?
NPI 1386628907 belongs to John David Allen MD, a Pediatrics in North Augusta, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1386628907 active?
The current status of NPI 1386628907 in the NPPES registry is Active. The record was last updated on 2023-09-14.
What specialty is NPI 1386628907?
NPI 1386628907 is classified under the taxonomy Pediatrics. 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 1386628907?
You can verify NPI 1386628907 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 1386628907?
The primary practice address on file for NPI 1386628907 is 140 Allen Court, North Augusta, SC 29860-1101. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1386628907 issued?
NPI 1386628907 was first issued (enumerated) on 2005-12-06. The NPPES record was last updated on 2023-09-14.
Practice Location Map
John David Allen is located at 140 Allen Court, North Augusta, SC. 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 John David 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 1386628907. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics, Adolescent Medicine | 025091 | GA |
| Pediatrics | 28313 | SC |