Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Idi Allen, MD

Individual provider Anesthesiology Physician · NPI 1700029402

Dr. Idi Allen, MD is a Pain Management in Fayetteville, Georgia. Qualified in 2004, 22 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Yorktown Dr Ste 211
Fayetteville, GA 30214-1578
Phone: (470) 481-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 70849 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 70849 (GA)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 70849 (GA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 70849 (GA)

Record details

NPI number1700029402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2009
Last updated in NPPESMarch 21, 2019
Mailing address101 Yorktown Dr Ste 211, Fayetteville, GA 30214-1578

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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