Individual provider Active NPI

Misty Allen, M.D.

  • Family Medicine Physician
  • Milan, TN
National Provider Identifier
1801950225
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41832 Issued in TN
Practice address
4022 Liberty St
Milan, TN 38358-3453
Phone
(731) 686-9744
Fax
(731) 613-2245
NPI assigned
Dec 20, 2006
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 41832 TN
Family Medicine Physician 207Q00000X 41832 TN Primary

Addresses

Primary practice location

4022 Liberty St
Milan, TN 38358-3453

Mailing address

4022 Liberty St
Milan, TN 38358-3453
Phone (731) 693-7588

Other identifiers 5

IdentifierTypeStateIssuer
4153428OtherTNBLUE CROSS BLUE SHIELD
103I088826MedicaidTN
3832640MedicaidTN
4146351OtherBCBS
4146345OtherBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000389 TN Practitioner - Family Practice 4082719554 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth H. Tozer II, MDGroup PAC ID 7416951058, 2 clinicians

Practice addresses (Care Compare)

4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Medical and Rehab, PLLC CurrentSince Mar 13, 2017 Accepting new patients
Kenneth H. Tozer II, MD CurrentSince Apr 17, 2023 Accepting new patients
West Tennessee Medical Group Inc Family Medicine Current Accepting new patients
Total Wellness Chiropractic, PLLC CurrentSince Mar 13, 2017 Accepting new patients
Omni Medical and Rehab Inc CurrentSince Apr 8, 2020 Accepting new patients
Decatur County General Hospital Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1086 W Van Hook St
Milan, TN 38358
Phone (731) 686-3343

1133 S Main St
Milan, TN 38358
Phone (731) 234-6208

4022 Liberty St
Milan, TN 38358
Phone (731) 686-7004

969 Tennessee Ave S
Parsons, TN 38363
Phone (731) 660-8755

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1801950225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 LIBERTY ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583453",
            "telephone_number": "731-693-7588",
            "fax_number": "731-693-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 LIBERTY ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583453",
            "telephone_number": "731-686-9744",
            "fax_number": "731-613-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MISTY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "41832",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4153428",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103I088826",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4146351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4146345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.