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

Mrs. Holly Allen, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1003388679

Mrs. Holly Allen, AGACNP-BC is a Nurse Practitioner in Canton, Georgia. Qualified in 2018, 8 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018

Practice location Address checks out

460 Northside Cherokee Blvd Ste 100
Canton, GA 30115-8017
Phone: (770) 292-3490
Fax: (770) 721-5615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN226149 (GA)

Record details

NPI number1003388679
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canton