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MRS. DENISE JOHNSON ALLEN NURSE PRACTITIONER
NPI 1285826271
Nurse Practitioner - Family in Athens, GA

Active since August 14, 2007PECOS Enrolled
68.38/100
CMS Quality Rating
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607(706) 353-2990(706) 353-2992 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Dec 13, 2024 (2 updates tracked since 2024).

About Mrs. Denise Johnson Allen Nurse Practitioner NPPES

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

MRS. DENISE JOHNSON ALLEN NURSE PRACTITIONER (NPI 1285826271) is an individual family provider in Athens, Georgia, licensed in Georgia (RN123212) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285826271
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DENISE JOHNSON ALLENCredential: NURSE PRACTITIONER
Location Address3320 OLD JEFFERSON RD BLDG 800Athens, GA 30607-1400
Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (063) 532-9927 · Fax (706) 353-2992
Phone(706) 353-2990
Fax(706) 353-2992
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1285826271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN123212
3320 OLD JEFFERSON RD BLDG 800, Athens, GA 30607
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13320 Old Jefferson Rd Bldg 700Athens, GA 30607-1465 · Phone (706) 353-2990 · Fax (706) 353-2992
Location 24182 Highway 278 NECovington, GA 30014-2494 · Phone (678) 712-6921 · Fax (678) 712-6923

Other Identifiers 2

Medicaid1285826271GA
Other1285826271GA · Bcbs,united Healthcare,athens Area Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Denise Johnson Allen Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Denise Allen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Cancer & Blood Center LLC
0.3 mi
Hematology & Oncology
3320 OLD JEFFERSON RD BLDG 800
Athens, GA 30607
  • Reassigned Medicare billing, Georgia enrollment
  • 72 clinicians in this Medicare group
NPI 1346343761 (706) 353-2990
Nsh Cancer Institute Professional Services G, LLC
54 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1144571381 (404) 256-4777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
185 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30607 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORTNEY MAFFETT
Nurse Practitioner
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
JEREMY DAVID CASPER PHARMD
Pharmacist
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
MR. DAVID JOHNSON PA-C
Physician Assistant
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
MICHELLE VU
Pharmacist (Oncology)
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
MRS. CHARISSA BRIGHT LCSW
Social Worker (Clinical)
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
AMANDA REDDEN HATHAWAY M.D.
Internal Medicine (Hematology & Oncology)
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
DR. PRAMOD GAUDEL M.D
Internal Medicine (Hematology & Oncology)
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990
PETROS GEORGE NIKOLINAKOS M.D.
Internal Medicine (Hematology & Oncology)
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 30607
Clarke County (706) 353-2990

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 Denise Allen's NPI number?

The NPI number for Denise Allen is 1285826271. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Denise Allen located?

Denise Allen practices at 3320 Old Jefferson Rd Bldg 800, Athens, GA 30607. The listed phone number is (706) 353-2990.

What is Denise Allen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Denise Allen enrolled in Medicare?

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

Which organizations bill Medicare for Denise Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Allen reassigns Medicare benefits to 2 organizations: University Cancer & Blood Center LLC (Athens, GA) and Nsh Cancer Institute Professional Services G, LLC (Sandy Springs, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Allen accept?

Health plans from Alliant Health Plans, Inc. list Denise Allen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Allen was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.