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

Mrs. Octavia Allen

Individual provider Adult Health Nurse Practitioner · NPI 1801521562

Mrs. Octavia Allen is a Nurse Practitioner in Smyrna, Georgia. Qualified in 2021, 5 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1155 Concord Rd SE Ste 200
Smyrna, GA 30080-4255
Phone: (843) 465-6548
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN265714 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN265717 (GA)

Record details

NPI number1801521562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023
Mailing address1155 Concord Rd Se Ste 200, Smyrna, GA 30080-4255

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Smyrna