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ALLEN DERMATOLOGY & SKIN CANCER CTR
NPI 1962739417
Dermatology in Macon, GA

Active since November 04, 2009CLIA 11D2004075 · Microscopy
520 CHARTER BLVD, SUITE 100, MACON, GA 31210(478) 477-6700(478) 757-8135 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allen Dermatology & Skin Cancer Ctr NPPES

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

ALLEN DERMATOLOGY & SKIN CANCER CTR (NPI 1962739417) is a healthcare organization registered as a dermatology in Macon, Georgia and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through February 24, 2028 and lists Jennifer Hawkins Allen, Ownder, as its authorized official.

NPPES Registry Identity

NPI1962739417
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALLEN DERMATOLOGY & SKIN CANCER CTR
Location Address520 CHARTER BLVD, SUITE 100Macon, GA 31210-4871
Mailing Address520 Charter Blvd, Suite 100Macon, GA 31210-4871 · (478) 477-6700 · Fax (478) 757-8135
Phone(478) 477-6700
Fax(478) 757-8135
Organization SubpartNo
Authorized OfficialJennifer Hawkins AllenOwnder · (478) 477-6700
Enumeration DateNovember 4, 2009
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1962739417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
520 CHARTER BLVD, Macon, GA 31210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen Dermatology & Skin Cancer Ctr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Allen Dermatology & Skin Cancer Ctr, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Allen, M.D.
Dermatology
NPI 1922160811
520 CHARTER BLVD SUITE 100
Macon, GA 31210
(478) 477-6700
✔ PECOS✔ Accepts MedicareSame address
Virginia Hall, M.D.
Dermatology
NPI 1073501276
520 CHARTER BLVD SUITE 100
Macon, GA 31210
(478) 477-6700
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2004075

Allen Dermatology And Skin Cancer Center, LLC · Macon, GA
Active · expires Feb 24, 2028
CLIA Number11D2004075
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorJennifer J. Allen
Laboratory Phone(478) 477-6700
Laboratory LocationAllen Dermatology And Skin Cancer Center, LLC520 Charter Boulevard, Suite 100, Macon, GA 31210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Allen Dermatology & Skin Cancer Ctr's NPI number?

The NPI number for Allen Dermatology & Skin Cancer Ctr is 1962739417. It was assigned to this organization in the NPPES registry on November 4, 2009.

Where is Allen Dermatology & Skin Cancer Ctr located?

Allen Dermatology & Skin Cancer Ctr is located at 520 Charter Blvd Suite 100, Macon, GA 31210. The listed phone number is (478) 477-6700.

What is Allen Dermatology & Skin Cancer Ctr's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Allen Dermatology & Skin Cancer Ctr enrolled in Medicare?

Yes. Allen Dermatology & Skin Cancer Ctr is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allen Dermatology & Skin Cancer Ctr?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Allen Dermatology & Skin Cancer Ctr. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allen Dermatology & Skin Cancer Ctr hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2004075) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allen Dermatology & Skin Cancer Ctr was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.