ALISON LOUISE ENGLISH FNP-C
NPI 1831530559
Nurse Practitioner - Family in Decatur, GA

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030(404) 537-2521 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2023, Feb 13, 2020 (2 updates tracked since 2020).

About Alison Louise English Fnp-c NPPES

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

ALISON LOUISE ENGLISH FNP-C (NPI 1831530559) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN198509) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1831530559
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISON LOUISE ENGLISHCredential: FNP-C
Location Address315 W PONCE DE LEON AVE STE 110Decatur, GA 30030-2441
Mailing Address315 W Ponce De Leon Ave Ste 110Decatur, GA 30030-2441 · (404) 537-2521
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1831530559 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 · RN198509
315 W PONCE DE LEON AVE STE 110, Decatur, GA 30030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alison Louise English Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961645346
PECOS Enrollment IDI20130904000602
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 Alison English reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group

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.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$196.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Clinic/Center (Primary Care)
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Family Medicine
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Nurse Practitioner (Family)
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Nurse Practitioner (Family)
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Nurse Practitioner (Family)
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030
Physician Assistant
315 W PONCE DE LEON AVE STE 110
DECATUR, GA 30030

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 Alison English's NPI number?

The NPI number for Alison English is 1831530559. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Alison English located?

Alison English practices at 315 W Ponce De Leon Ave Ste 110, Decatur, GA 30030. The listed phone number is (404) 537-2521.

What is Alison English's specialty?

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

Is Alison English enrolled in Medicare?

Yes. Alison English is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alison English's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison English reassigns Medicare benefits to 2 organizations: Ponce Preventive Care LLC (Decatur, GA) and Minuteclinic LLC (Rockville, MD). 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 Alison English's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison English accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Alison English 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 Alison English affiliated with any hospitals?

According to CMS data, Alison English is affiliated with Emory University Hospital and Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Alison English was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.