Octavia Allen
NPI 1801521562ActiveIndividual· Nurse Practitioner, Family· Smyrna, GA
Nurse Practitioner, Family with Peachtree Immediate Care Fp, LLC, practicing in Smyrna, Georgia. In 2024 Medicare paid $17,118 for 169 patients, and Part D covered 107 of their prescriptions, 88% of them generic.
Overview
| NPI | 1801521562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 18, 2022 |
| Last updated in NPPES | Dec 11, 2023 |
| Certified by provider | Dec 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN265714 | GA |
| Nurse Practitioner, Adult Health | 363LA2200X | RN265717 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 420 across 33 procedure codes |
| Paid by Medicare | $17,118 |
Part D prescriptions in 2024
| Prescriptions (claims) | 107 · 108 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $839.52 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Peachtree Immediate Care Fp, LLCGriffin, GA · 326 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Smyrna
- 1447902663
- 1922237270
- 1083859193
- 1588068852
- 1104390491
- 1861711749
- 1962545731
- 1346714334
- 1174291918
- 1265840748
- 1659094050
- 1619380250