Provider Demographics
NPI:1720244411
Name:ALLEN, ASHLEY NIX (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NIX
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:SUZANNE
Other - Last Name:NIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5070 INTERNATIONAL BLVD
Practice Address - Street 2:SUITE 131
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-6006
Practice Address - Country:US
Practice Address - Phone:843-763-7906
Practice Address - Fax:843-740-9039
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036122515207Q00000X
NC2011-01916207Q00000X
SC36702207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5920339Medicaid
NC170RUOtherBCBSNC
NC5920339Medicaid
NC170RUOtherBCBSNC