DR. JOHN LEATHERBURY ALLEN (NPI# 1639495492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639495492 |
| Entity Type | Individual |
| Full Name | DR. JOHN LEATHERBURY ALLEN |
| Credential | M.D. |
| Practice Address |
3853 Byrnwyck Pl Ne Brookhaven GA 30319-1658 |
| Practice Telephone | 2515338739 |
| Mailing Telephone | 2515338739 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2015-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 74229 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | RESIDENT4405 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959130 | John Tanner Allen | Physical Therapist | 1110 Clover Hill Rd, Valdosta, GA 31602-1208 | 2019-12-19 |
| 1417516618 | John R Allen | Community Health Worker | 428 N Cass Ave, Westmont, IL 60559-1502 | 2019-06-11 |
| 1518459064 | John Allen | Military Health Care Provider | Rr612 Everrett Creek Road, Camp Lejeune, NC 28542 | 2018-05-31 |
| 1326455064 | John Allen | Specialist/Technologist | 17 Brewster Ave, Stony Point, NY 10980-1605 | 2014-07-15 |
| 1154630192 | John T. Allen | Behavioral Analyst | 4895 E Russell Rd, #308, Las Vegas, NV 89120-4503 | 2010-09-24 |
| 1912142720 | John Michael Allen | Surgery | 300 Medical Dr Ste 707, Lagrange, GA 30240-4130 | 2008-12-08 |
| 1861665697 | John Damon Allen | Physical Medicine & Rehabilitation | 4000 Coliseum Dr Ste 340, Hampton, VA 23666-5904 | 2008-04-13 |
| 1861670937 | John Michael Allen | Counselor | 375 W Tamarack Ln, Prescott, AZ 86301-1250 | 2008-01-31 |
| 1083803456 | John P Allen | Psychologist | 2009 Carriage Ct, Vienna, VA 22181-2923 | 2007-10-22 |
| 1093912057 | John Thomas Allen | Physical Therapy Assistant | 141 Creekwood Ln, Show Low, AZ 85901-2822 | 2007-07-02 |
| Street Address |
3853 BYRNWYCK PL NE |
| City | BROOKHAVEN |
| State | GA |
| Zip Code | 30319-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427544220 | Hillard Weinstock | Internal Medicine | 12 Corporate Blvd Ne, Brookhaven, GA 30329-1909 | 2018-07-03 |
| 1578079513 | William Alexander | Internal Medicine | 4170 Ashford Dunwoody Rd Ne Ste 100, Brookhaven, GA 30319-1457 | 2017-12-27 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1255593265 | Blaine Cooper Britt | Internal Medicine | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2008-06-30 |
| 1760696298 | George L Rodriguez Md PC | Internal Medicine | 8 W Brookhaven Rd, Suite B, Brookhaven, PA 19015-1629 | 2007-05-10 |
| 1184762585 | Carolyn H. Sigman | Internal Medicine | 3925 Peachtree Rd Ne, Suite 300, Brookhaven, GA 30319-5256 | 2007-02-01 |
| 1649327594 | Bradley David Shepherd | Internal Medicine | 1001 Summit Blvd Ste 200, Brookhaven, GA 30319-6410 | 2007-01-04 |
| 1477663318 | Dena W Jackson | Internal Medicine | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| 1619087541 | Charles A Kergosien | Internal Medicine | 527 Silver Cross Dr, Brookhaven, MS 39601-2388 | 2006-08-30 |
| 1083628291 | James E Roberts | Internal Medicine | 439 N Jackson St Ste D, Brookhaven, MS 39601-2912 | 2006-07-27 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 30319 |
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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.