KATHERINE S. ALLEN (P. A.) – Surgical Physician Assistant, NPI 1629180229

KATHERINE S. ALLEN (P. A.) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P. A.. They hold a License No. 1067363 (GA). The NPI Number for KATHERINE S. ALLEN (P. A.) is 1629180229

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE S. ALLEN (P. A.)
NPI
1629180229
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
31 August 2006
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702196000
Graduation Year
2005 (21 years ago)
PAC ID
6901830256
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20050926000566
Address ID
GA305013715GA743XXNEST300

Contacts

Secure Messaging
kallen33627@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for KATHERINE S. ALLEN (P. A.)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 1296, Sims Street, Gainesville, Hall County, Georgia, 30501, United States

    SUITE B

    GAINESVILLE, GA 305013850

    Phone: (770) 534-1856

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,025.

Total Amount is formed as General ($1,025) + Research ($0) + Ownership ($0) = $1,025.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($537).

Total Amount

$1,025

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,025

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050926000566IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Can I verify KATHERINE S. ALLEN (P. A.) with an NPI only?
You can start verification with NPI 1629180229 for KATHERINE S. ALLEN (P. A.), then check state licensing separately.
Does CMS list KATHERINE S. ALLEN (P. A.) as active?
Yes — KATHERINE S. ALLEN (P. A.) is active in the NPI listing used on this page.
What is KATHERINE S. ALLEN (P. A.)'s primary classification?
Surgical Physician Assistant is the headline specialty for KATHERINE S. ALLEN (P. A.) here. Clinical services aligned with this taxonomy classification.
Where is KATHERINE S. ALLEN (P. A.) based?
KATHERINE S. ALLEN (P. A.) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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