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● Active Type 1 · Individual

Mrs. Holly Allen, AGACNP-BC

Acute Care (Nurse Practitioner)·Canton, GA· NPI 1003388679 · Enumerated 2018 · 7 years on NPI
Allen is 1 of 10 acute care (nurse practitioner) providers in Canton and 1 of 985 in Georgia.
NPI age
7 years
Enumerated 2018-12-20
Primary specialty
Acute Care (Nurse Practitioner)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-12-20
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 985 active acute care (nurse practitioner) providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2018 → 2019

2018-12Enumerated in NPPES
2018 2019

Where they practice

Practice location
460 Northside Cherokee Blvd Ste 100
Canton, GA 301158017
📞 7702923490fax 7707215615
Mailing address
460 Northside Cherokee Blvd Ste 100
Canton, GA 301158017
📞 7702923490fax 7707215615

Specialties

  • Nurse Practitioner Primary
    CMS NPPES uses NUCC taxonomy code 363LA2100X for provider records classified as Acute Care within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
    GA license #RN226149 taxonomy 363LA2100X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties
Nurse Practitioner
Largest Medicare group
367 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • Northside Surgical Professional Services Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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