Provider Demographics
NPI:1972579944
Name:ANGOTT, ALLISON A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:A
Last Name:ANGOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1021 DARRINGTON DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8158
Mailing Address - Country:US
Mailing Address - Phone:843-332-7419
Mailing Address - Fax:919-378-9114
Practice Address - Street 1:804 ENGLISH RD STE 100
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-6027
Practice Address - Country:US
Practice Address - Phone:252-443-3133
Practice Address - Fax:723-224-3901
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52938207Q00000X
PAMD044331E207Q00000X
NC2019-02347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0977180Medicaid
VA1972579944Medicaid
TNQ018898Medicaid
KYF16963OtherHEALTH AMERICA/ASSURANCE
PAP00096908OtherR/R MEDICARE
OH000000311730OtherANTHEM BLUE CROSS SHIEL
PA0005337060OtherAETNA
PA250093OtherUPMC
PA43454OtherPA BLUE CROSS & BLUE SHIE
PAP00096908OtherR/R MEDICARE
TNQ018898Medicaid