MRS. OCTAVIA ALLEN NPI 1801521562

NPI Information

NPI: 1801521562
Provider Name: MRS. OCTAVIA ALLEN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1155 CONCORD RD SE STE 200
SMYRNA, GA
ZIP 30080
Phone: (843) 465-6548
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MRS. Octavia Allen is a family nurse practitioner in Smyrna, GA with 3 years of experience. MRS. Octavia Allen NPI is 1801521562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1155 CONCORD RD SE STE 200
SMYRNA, GA
ZIP 30080-255
Phone: (843) 465-6548

The NPI 1801521562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2022 and was last updated on 12/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN265717	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN265714	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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