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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DYRON ALLEN
NPI 1770046468
Student in an Organized Health Care Education/Training Program in Conyers, GA

Active since April 09, 2019PECOS Enrolled
1412 MILSTEAD AVE NE, CONYERS, GA 30012(678) 951-3395 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 22, 2026, Apr 9, 2019 (2 updates tracked since 2019).

About Dyron Allen NPPES

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

DYRON ALLEN (NPI 1770046468) is an individual student in an organized health care education/training program in Conyers, Georgia and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2019).

NPPES Registry Identity

NPI1770046468
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYRON ALLEN
Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Phone(678) 951-3395
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1770046468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 111322 (GA)
1412 MILSTEAD AVE NE, Conyers, GA 30012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dyron Allen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608359260
PECOS Enrollment IDI20260311003102
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

3

Medicare enrollment records show Dyron Allen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Suburban Pathologists PC
0.6 mi
Anatomic Pathology & Clinical Pathology
141 MILSTEAD AVE NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1720016801 (678) 423-1550
Pathology And Laboratory Medicine, PC
26 mi
Anatomic Pathology & Clinical Pathology
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1649494816 (770) 458-6103
City Of Hope Medical Group Of Georgia LLC
48 mi
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

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.

WALKER LAKE PHYSICIAN SERVICES, PC
Hospitalist
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
DR. BABAJIDE O. FALANA M.D.
Internal Medicine
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
THI T. NGUYEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
ASHLEY MARIE MCGUIRE-TANKSLEY PA-C
Physician Assistant
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 922-4024
JAN DELROY JOHNSON NP
Nurse Practitioner (Family)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3754
DR. CLIFFORD N GROSSMAN MD
Radiology (Diagnostic Radiology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
KUSH SHARMA MD
Psychiatry & Neurology (Neurology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (470) 788-1010
DR. NEIL EDGERTON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3905

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 Dyron Allen's NPI number?

The NPI number for Dyron Allen is 1770046468. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Dyron Allen located?

Dyron Allen practices at 1412 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (678) 951-3395.

What is Dyron Allen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dyron Allen enrolled in Medicare?

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

Which organizations bill Medicare for Dyron Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dyron Allen reassigns Medicare benefits to 3 organizations: South Suburban Pathologists PC (Conyers, GA), Pathology And Laboratory Medicine, PC (Atlanta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, 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 Dyron Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dyron Allen accept?

Health plans from Oscar Health list Dyron 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.

Is Dyron Allen affiliated with any hospitals?

According to CMS data, Dyron Allen is affiliated with Northside Hospital and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Dyron Allen was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.