MR. STANLEY BRUCE ALLEN (NPI# 1326034505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326034505 |
| Entity Type | Individual |
| Full Name | MR. STANLEY BRUCE ALLEN |
| Credential | PAC |
| Practice Address |
2621 E Pinetree Blvd Thomasville GA 31792-4840 |
| Mailing Address |
900 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2295844100 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001731 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000109B | 05 | |
| GA | RAILROAD MEDICARE | 970029019 | 01 |
| GA | MEDICARE GROUP | GRP7061 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265689095 | Stanley C Allen | Physical Medicine & Rehabilitation | 105 Corporate Dr, Pease International Tradeport, Portsmouth, NH 03801-6825 | 2008-08-22 |
| 1649757824 | Stanley Leroy Allen | Counselor | 4820 She Nah Num Dr Se, Olympia, WA 98513 | 2018-07-20 |
| 1093185878 | Stanley Allen Jr. | Dentist | 2783 Nc Highway 68 S, Suite 107, High Point, NC 27265-8324 | 2015-10-06 |
| 1023179116 | Stanley Michael Eugene Allen | Social Worker | 1770 Indian Trail Rd, Suite 200, Norcross, GA 30093-2645 | 2006-12-12 |
| 1932288511 | Stanley D Allen | Orthopaedic Surgery | 301 University Blvd, Galveston, TX 77555-1022 | 2006-11-03 |
| 1164476149 | Stanley Llewellyn Allen IIi | Emergency Medicine | 2400 Mt. Zion Parkway Kaiser Permanente, Southwood Comprehensive Medical Center, Jonesboro, GA 30236 | 2006-05-22 |
| 1285631127 | Stanley Eric Allen | Internal Medicine | 1025 S 6th St, Springfield, IL 62703-2403 | 2005-07-07 |
| Street Address |
2621 E PINETREE BLVD |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987349 | Kaycie Langston | Nurse Practitioner | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2020-03-23 |
| 1235615618 | Jessica Lynn Smith | Nurse Practitioner | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2018-07-18 |
| 1932620911 | Sadie H Burke | Nurse Practitioner | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2017-06-29 |
| 1407383805 | Rachel Anderson | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2017-05-16 |
| 1508132887 | Archbold Medical Group, Inc. | General Practice | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2012-03-30 |
| 1316238744 | Jackson E Hatfield | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2011-04-19 |
| 1720045552 | Dale Wing | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2006-04-26 |
| 1063485068 | Jason E Griffin | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391556 | James T Williams Jr. | Physician Assistant | 1650 Liberty Dr Ste 100, Thomasville, NC 27360-5375 | 2018-10-11 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1225339815 | Stephanie M Thompson | Physician Assistant | 100 Mimosa Dr Fl 3, Thomasville, GA 31792-6676 | 2010-11-12 |
| 1497088751 | John Scott Garmon | Physician Assistant | 1102 Smith Ave Ste M, Thomasville, GA 31792-5740 | 2009-09-17 |
| 1497942858 | Robert Michael Donovan | Physician Assistant | 3851 Ga Highway 122, Thomasville, GA 31757 | 2007-10-01 |
| 1164560470 | Lauren Powell Musgrove | Physician Assistant | 505 Gordon Ave, Thomasville, GA 31792-6645 | 2007-02-01 |
| 1558357087 | Jennifer Lynn Delarber | Physician Assistant | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2005-09-20 |
| 1326033937 | Franklin R Everhart | Physician Assistant | 611 Randolph St, Thomasville, NC 27360-5126 | 2005-09-20 |
| 1881291953 | Holley H Murray | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792-4875 | 2020-10-02 |
| 1841823432 | Rose Emergency Group, LLC | Physician Assistant | 300 Med Park Dr, Thomasville, AL 36784-5760 | 2020-02-21 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on MR. STANLEY BRUCE ALLEN.
| 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.