CHARLES T. ALLEN (NPI# 1255442075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255442075 |
| Entity Type | Individual |
| Full Name | CHARLES T. ALLEN |
| Practice Address |
247 S Main St Reidsville GA 30453-4605 |
| Mailing Address |
142 Hunnicutt Cir Swainsboro GA 30401-4917 |
| Practice Telephone | 9125571000 |
| Mailing Telephone | 4782379197 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN035442 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912444647 | Charles Tyler Allen | Chiropractor | 818 Knights Cross Dr, Ste. 5107, San Antonio, TX 78258-2982 | 2017-01-19 |
| 1023495355 | Charles Allen Jr. | Licensed Practical Nurse | 4421 Granada Blvd, Apt 533, Warrensville Heights, OH 44128-4823 | 2015-05-06 |
| 1861804668 | Charles Allen | Counselor | 1717 Seascape Cir, Tarpon Springs, FL 34689-2962 | 2014-05-28 |
| 1205248143 | Charles William Allen II | Marriage & Family Therapist | 11500 Olympic Ave, # 420, Los Angeles, CA 90064 | 2014-05-27 |
| 1922344522 | Charles William Allen Sr. | Nutritionist | 9703 Ne 2nd Pl, Oklahoma City, OK 73130-3509 | 2012-12-31 |
| 1215133319 | Charles Allen | Emergency Medicine | 1275 So State St, Dover, DE 19901 | 2007-06-25 |
| 1144345364 | Charles T Allen | Podiatrist | 5700 S Kedzie Ave, Chicago, IL 60629-2408 | 2007-03-20 |
| 1144370958 | Charles Davis Allen Jr. | Dentist | 508 Mckay St., Elizabethtown, NC 28337-0235 | 2007-01-12 |
| 1124053251 | Charles Allen | Pharmacist | 221 Flagstone Ln, Raeford, NC 28376-3260 | 2006-07-11 |
| 1548216237 | Charles J Allen | Occupational Therapist | 2108 Joshuas Path, Hauppauge, NY 11788-4764 | 2006-05-25 |
| Street Address |
247 S MAIN ST |
| City | REIDSVILLE |
| State | GA |
| Zip Code | 30453-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520217 | Tattnall Emergency Physicians, LLC | Emergency Medicine | 247 S Main St, Emergency Department, Reidsville, GA 30453-4605 | 2006-05-28 |
| 1558979591 | Vincent John R Busante | Occupational Therapist | 247 S Main St, Reidsville, GA 30453-4605 | 2020-07-15 |
| 1659922722 | Carol Ann Alexander | Nurse Practitioner | 247 S Main St, Reidsville, GA 30453-4605 | 2019-09-20 |
| 1295151975 | Ashley Nicole Vaughan | Occupational Therapist | 247 S Main St, Reidsville, GA 30453-4605 | 2014-03-05 |
| 1962748368 | Mark Spivey Orthopedic Clinic LLC | Orthopaedic Surgery | 247 S Main St, Reidsville, GA 30453-4605 | 2012-12-13 |
| 1114261047 | Clayborne Fulchi | Nurse Anesthetist, Certified Registered | 247 S Main St, Reidsville, GA 30453-4605 | 2012-11-15 |
| 1932489481 | Natalie Pippin Britt | Emergency Medicine | 247 S Main St, Reidsville, GA 30453 | 2011-08-27 |
| 1144550716 | Chasity Carter Mcneal | Occupational Therapist | 247 S Main St, Reidsville, GA 30453-4605 | 2010-01-05 |
| 1740440932 | Tattnall Hospital Company LLC | Medicare Defined Swing Bed Unit | 247 S Main St, Reidsville, GA 30453-4605 | 2008-06-11 |
| 1790942381 | Tattnall Hospital Company, LLC | General Acute Care Hospital | 247 S Main St, Reidsville, GA 30453-4605 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1770824351 | Elite Care Dme,llc | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2013-03-07 |
| 1003154766 | Rebekah Hollis Parker | Occupational Therapist | 247 A South Main Street, Reidsville, GA 30453 | 2013-01-30 |
| 1629359419 | D. Wilson Inc. | Durable Medical Equipment & Medical Supplies | 121 South Main Street Unit A, Reidsville, GA 30453 | 2011-09-07 |
| 1417278029 | Tattnall Community Ems | Ambulance | 194 John O Parker Dr., Reidsville, GA 30453 | 2010-06-17 |
| 1518122563 | Brenda Marie Black | Licensed Practical Nurse | 150 Memorial Drive, 150 Memorial Drive, Reidsville, GA 30453 | 2008-07-18 |
| 1063694404 | Ihori Kameyama | Counselor | 150 Memorial Dr., Reidsville, GA 30453 | 2007-11-28 |
| 1710947403 | Donald Franklin Kennedy Jr. | Specialist | 131 Memorial Drive, Reidsville, GA 30453 | 2006-03-25 |
| 1801438676 | Olive Care Durable Medical & Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2019-10-14 |
| Find all providers in zip 30453 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114261047 | Clayborne Fulchi | Nurse Anesthetist, Certified Registered | 247 S Main St, Reidsville, GA 30453-4605 | 2012-11-15 |
| 1427105980 | John L Waller | Nurse Anesthetist, Certified Registered | 618 S Main St, Reidsville, NC 27320-5020 | 2007-01-05 |
| 1114074820 | Karen E Daniel | Nurse Anesthetist, Certified Registered | 618 S Main St, Reidsville, NC 27320-5020 | 2007-01-04 |
| 1811044530 | Robert J Idacavage | Nurse Anesthetist, Certified Registered | 618 S Main St, Reidsville, NC 27320-5020 | 2007-01-04 |
| 1578642310 | Amy Andraza Adams | Nurse Anesthetist, Certified Registered | 618 S Main St, Reidsville, NC 27320-5020 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1932762580 | Velocity Health Partners LLC | Nurse Anesthetist, Certified Registered | 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036 | 2019-04-19 |
| 1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
| 1497227797 | Mustapha Timmy Issa | Nurse Anesthetist, Certified Registered | 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 | 2018-12-26 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1467927038 | Glga Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 | 2018-10-09 |
| 1972098770 | Brett E Mason | Nurse Anesthetist, Certified Registered | 902 S 7th St, Cordele, GA 31015-2855 | 2018-06-25 |
| 1760989925 | Dream Team Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 807 Carroll St Ste C-2002, Perry, GA 31069-3311 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 30453 |
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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.