DR. JOHN LEATHERBURY ALLEN (M.D.) – Internal Medicine Physician, NPI 1639495492

DR. JOHN LEATHERBURY ALLEN (M.D.) is a healthcare provider. based in Brookhaven, Georgia. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. RESIDENT4405 (GA). The NPI Number for DR. JOHN LEATHERBURY ALLEN (M.D.) is 1639495492

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN LEATHERBURY ALLEN (M.D.)
NPI
1639495492
Phone
(251) 533-8739
Address
3853 BYRNWYCK PL NE
Enumeration Date
19 April 2010
Last Update Date
6 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4047787525
Graduation Year
2010 (16 years ago)
PAC ID
9931494325
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20160824001726
Address ID
GA303221013AT1365XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,282 HOSPITALIST in GA

Provider Addresses for DR. JOHN LEATHERBURY ALLEN (M.D.)

  • 3853 BYRNWYCK PL NE

    BROOKHAVEN, GA 303191658

    Phone: (251) 533-8739

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-03-10 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-08-24

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
I20160824001726IHospitalistGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4141$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 30319)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What identifier follows DR. JOHN LEATHERBURY ALLEN (M.D.) across health systems?
The NPI 1639495492 uniquely identifies DR. JOHN LEATHERBURY ALLEN (M.D.) in U.S. healthcare data.
Is DR. JOHN LEATHERBURY ALLEN (M.D.)'s NPI status active today?
Active status means DR. JOHN LEATHERBURY ALLEN (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. JOHN LEATHERBURY ALLEN (M.D.) does?
Insurance directories may phrase it differently, but here DR. JOHN LEATHERBURY ALLEN (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOHN LEATHERBURY ALLEN (M.D.)?
The directory associates DR. JOHN LEATHERBURY ALLEN (M.D.) with Brookhaven, Georgia. Check all listed addresses for suites or satellite offices.
Can I export DR. JOHN LEATHERBURY ALLEN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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