MEDICARE: DR. JOAN MICHELLE ALLMON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35786	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2877692	OTHER		CIGNA
2	7259380	OTHER		AETNA
3	2217378	OTHER		UNITED HEALTHCARE
4	4039910	OTHER	TN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1073516852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN MICHELLE ALLMON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 405827
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-5827
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 PEYTON PKWY STE 103
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-9724
Country	:	US
Telephone Number	:	901-910-3246
Fax Number	:	901-316-5427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/25/2025

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