DR. RENEE SIMONE YOLANDA ALLEN (NPI# 1578749883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578749883 |
| Entity Type | Individual |
| Full Name | DR. RENEE SIMONE YOLANDA ALLEN |
| Credential | M.D. |
| Practice Address |
1255 Highway 54 W Fayetteville GA 30214-4526 |
| Mailing Address |
3752 Market Walk Clarkston GA 30021-2563 |
| Practice Telephone | 7707197339 |
| Practice Fax Number | 7707197480 |
| Mailing Fax Number | 4042995110 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 060787 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144481482 | Renee M Allen | Licensed Practical Nurse | 534 Vienna St, Palmyra, NY 14522-1520 | 2008-06-19 |
| 1679627038 | Renee Marie Allen | Occupational Therapist | 8190 E 1st Ave, Suite 102, Denver, CO 80230-6995 | 2007-01-23 |
| 1285241430 | Renee Suzanne Allen | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2020-09-30 |
| 1669961728 | Renee Allen | Licensed Practical Nurse | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2018-05-04 |
| 1053793521 | Renee Allen | Psychologist | 30503 Greenfield Rd, Southfield, MI 48076-1594 | 2015-06-22 |
| 1013236579 | Renee Lynn Allen | Pharmacist | 24330 El Toro Rd, Laguna Woods, CA 92637-2775 | 2010-05-24 |
| 1477883593 | Renee Allen | Technician, Other | 10065 E Harvard Ave Ste 400, Denver, CO 80231-5943 | 2010-01-12 |
| 1851332076 | Renee D Allen | Speech-Language Pathologist | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-06-09 |
| Street Address |
1255 HIGHWAY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759579 | Terrence Wise | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2006-02-16 |
| 1518575737 | Lillie La Marre | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-07-14 |
| 1932723285 | Janam Nilesh Patel | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-06-02 |
| 1851934541 | Kara Elizabeth Wright | Registered Nurse | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-10-24 |
| 1093370827 | Virginia Ann Horan | Physician Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-05-07 |
| 1588123285 | Morgan Roberson | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-03-13 |
| 1174099410 | Ellen Marie Morris-white | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-10-14 |
| 1851874085 | Monika Hill | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-13 |
| 1700368958 | Kristen Dawn Graddy | Occupational Therapist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-04 |
| 1407342603 | Mary Grace B Nuega | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811398852 | Fayetteville Woman's Care | Obstetrics & Gynecology | 2029 Valley Gate Drive, Suite 101, Fayetteville, NC 28304-3772 | 2014-09-09 |
| 1194126250 | A Woman Place In Fayetteville LLC | Obstetrics & Gynecology | 2053 Valley Gate Drive, Suite 201, Fayetteville, NC 28304-3983 | 2014-09-09 |
| 1336568153 | Melvin Henderson | Obstetrics & Gynecology | 413 Owen Dr Ste 101, Fayetteville, NC 28304-3490 | 2014-04-09 |
| 1932464617 | Nicole E Quinn | Obstetrics & Gynecology | 1267 Highway 54 W Ste 3200, Fayetteville, GA 30214-2111 | 2012-07-10 |
| 1093945115 | Lydia B Apollo | Obstetrics & Gynecology | 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304-3983 | 2009-07-23 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1780889766 | Amy L Scott | Obstetrics & Gynecology | 3215 N Northhills Blvd Ste B, Fayetteville, AR 72703-4424 | 2007-06-19 |
| 1790844256 | Christine Dennett Booth | Obstetrics & Gynecology | 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 | 2006-12-08 |
| 1316033368 | Camille Jamil Wehbe | Obstetrics & Gynecology | 3609 Cape Center Dr, Fayetteville, NC 28304-4457 | 2006-10-05 |
| 1154345346 | Dorrette P Grant | Obstetrics & Gynecology | 2573 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2006-07-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.