Individual provider Active NPI

Montrese Pitmon Alleyne, NP-C

  • Family Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1346593852
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18800 Issued in TN
Practice address
100 Eagles Walk
Suite a
Stockbridge, GA 30281-6335
Phone
(770) 506-0100
NPI assigned
Oct 22, 2012
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN155438 GA
Family Nurse Practitioner 363LF0000X 18800 TN Primary

Addresses

Primary practice location

100 Eagles Walk
Suite a
Stockbridge, GA 30281-6335

Mailing address

86 Logan Loop
Collierville, TN 38017-9789
Phone (678) 458-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105001611 TN Practitioner - Nurse Practitioner 6103052063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee Family CurrentSince Dec 1, 2020 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 25, 2024 Accepting new patients
Univ. TN Health Science Center CurrentSince Dec 1, 2020 Accepting new patients
Med-South Primary Care Past Accepting new patients

Locations

3685 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 457-2933

910 Madison Ave
Fl 9
Memphis, TN 38103
Phone (901) 448-5630

910 Madison Ave
Ste 922
Memphis, TN 38103
Phone (901) 371-0018

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: montrese.alleyne.p1@direct.caremoreagp.nextgenshare.com
  • Direct secure messaging: montrese.alleyne.p7@direct.uthsc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1346593852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LOGAN LOOP",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179789",
            "telephone_number": "678-458-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLES WALK",
            "address_2": "SUITE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816335",
            "telephone_number": "770-506-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "MONTRESE",
        "middle_name": "PITMON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.