1. Home
  2. Directory
  3. Georgia
  4. Pelham
  5. Nurse Practitioner
  6. NPI Profile

WANDA ALLEN DNP, MSN, AGNP-C
NPI 1104431568
Nurse Practitioner in Pelham, GA

Active since September 12, 2020PECOS Enrolled
2800 LANDFILL RD, PELHAM, GA 31779(229) 328-6555 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Sep 12, 2020 (2 updates tracked since 2020).

About Wanda Allen Dnp, Msn, Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA ALLEN DNP, MSN, AGNP-C (NPI 1104431568) is an individual nurse practitioner in Pelham, Georgia, licensed in Georgia (RN142481) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104431568
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWANDA ALLENCredential: DNP, MSN, AGNP-C
Location Address2800 LANDFILL RDPelham, GA 31779-5960
Mailing AddressPo Box 386Pelham, GA 31779-0386 · (229) 328-6555
Phone(229) 328-6555
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 12, 2020
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1104431568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN142481
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2800 LANDFILL RD, Pelham, GA 31779
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Allen Dnp, Msn, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557839362
PECOS Enrollment IDI20260508003634
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Allen's NPI number?

The NPI number for Wanda Allen is 1104431568. It was assigned to this individual provider in the NPPES registry on September 12, 2020.

Where is Wanda Allen located?

Wanda Allen practices at 2800 Landfill Rd, Pelham, GA 31779. The listed phone number is (229) 328-6555.

What is Wanda Allen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Wanda Allen enrolled in Medicare?

Yes. Wanda Allen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanda Allen was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.