Basic Information
| Provider Information | |||||||||
| NPI: | 1972579944 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANGOTT | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1021 DARRINGTON DR STE 101 | ||||||||
| Address2: | |||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275138158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433327419 | ||||||||
| FaxNumber: | 9193789114 | ||||||||
| Practice Location | |||||||||
| Address1: | 804 ENGLISH RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | ROCKY MOUNT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278046027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2524433133 | ||||||||
| FaxNumber: | 7232243901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 52938 | TN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD044331E | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 2019-02347 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0977180 | 05 | OH | MEDICAID | 1972579944 | 05 | VA | MEDICAID | Q018898 | 05 | TN | MEDICAID | F16963 | 01 | KY | HEALTH AMERICA/ASSURANCE | OTHER | P00096908 | 01 | PA | R/R MEDICARE | OTHER | 000000311730 | 01 | OH | ANTHEM BLUE CROSS SHIEL | OTHER | 0005337060 | 01 | PA | AETNA | OTHER | 250093 | 01 | PA | UPMC | OTHER | 43454 | 01 | PA | PA BLUE CROSS & BLUE SHIE | OTHER |