Individual provider Active NPI

Tammy Marie Allen, MD

  • Family Medicine Physician
  • Mableton, GA
National Provider Identifier
1861550865
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62804 Issued in GA
Practice address
1400 Veteran's Memorial Highway
Suite 134-182
Mableton, GA 30126
Phone
(602) 402-2232
NPI assigned
Dec 4, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME144673 FL
Family Medicine Physician 207Q00000X DR.0061967 CO
Family Medicine Physician 207Q00000X MD-21148 HI
Family Medicine Physician 207Q00000X 48454 KY
Family Medicine Physician 207Q00000X 29002 NE
Family Medicine Physician 207Q00000X 16854 NH
Family Medicine Physician 207Q00000X 303365 NY
Family Medicine Physician 207Q00000X MMD.36579 SC
Family Medicine Physician 207Q00000X S9840 TX
Family Medicine Physician 207Q00000X MD00046605 WA
Family Medicine Physician 207Q00000X 34101 AZ
Family Medicine Physician 207Q00000X MD2007-0175 NM
Family Medicine Physician 207Q00000X MD.46242 AL
Family Medicine Physician 207Q00000X C170329 CA
Family Medicine Physician 207Q00000X 62804 GA Primary

Addresses

Primary practice location

1400 Veteran's Memorial Highway
Suite 134-182
Mableton, GA 30126

Mailing address

1400 Veteran's Memorial Highway
Suite 134-182
Mableton, GA 30126
Phone (602) 402-2232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA, GA, AZ, SC, CA, GU, NY8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20070828001101 NM Practitioner - Family Practice 0244256196 Reassigns benefits to 2 organizations
I20080916000308 WA Practitioner - Family Practice 0244256196 Reassigns benefits to 1 organization
I20091022000009 GA Practitioner - Family Practice 0244256196 Reassigns benefits to 6 organizations
I20110617000301 AZ Practitioner - Family PracticePractitioner - Hospitalist 0244256196 Reassigns benefits to 2 organizations
I20200204001446 SC Practitioner - Family Practice 0244256196 Reassigns benefits to 1 organization
I20201222001583 CA Practitioner - HospitalistPractitioner - Family Practice 0244256196 Reassigns benefits to 1 organization
I20210210002679 GU Practitioner - Internal Medicine 0244256196 Reassigns benefits to 1 organization
I20250814000362 NY Practitioner - Family PracticePractitioner - Hospitalist 0244256196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36579SCMDPharmacist
MD.46242ALMDFamily Medicine Physician
C170329CAMDFamily Medicine Physician
DR.0061967COMDFamily Medicine Physician
ME144673FLMDFamily Medicine Physician
62804GAMDFamily Medicine Physician
MD-21148HIMDFamily Medicine Physician
48454KYMDFamily Medicine Physician
29002NEMDFamily Medicine Physician
16854NHMDFamily Medicine Physician
MMD.36579SCMDFamily Medicine Physician
S9840TXMDFamily Medicine Physician
MD00046605WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince May 7, 2025 Accepting new patients
24 On Physicians of SC, LLC Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jun 25, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Dec 18, 2020 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Jan 20, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 7, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Feb 17, 2021 Accepting new patients
Cooperative Healthcare Services Inc Family Medicine CurrentSince May 4, 2012 Accepting new patients
St. Peter's Hospital of the City of Albany Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
St. Peter's Hospital of the City of Albany Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Primedoc of Brunswick Inc CurrentSince Sep 15, 2009 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Aug 1, 2016 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jun 25, 2018 Accepting new patients
Page Hospital CurrentSince Dec 14, 2016 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Jan 20, 2021 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Dec 18, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Aug 18, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Page Hospital CurrentSince Dec 14, 2016 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine PastSince Aug 23, 2020 Accepting new patients

Locations (25 of 34)

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: tallen175456@ahs.direct-ci.com
  • Direct secure messaging: tallen266847@direct.phs.org
  • Direct secure messaging: tallen4531844@direct.trinity-health.org
  • Direct secure messaging: tammy.allen.1@26788.direct.athenahealth.com
  • Direct secure messaging: tammy.allen.1@321.direct.athenahealth.com
  • Direct secure messaging: tmallen@yourcarecommunity.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 4

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1861550865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERAN'S MEMORIAL HIGHWAY",
            "address_2": "SUITE 134-182",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "602-402-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VETERAN'S MEMORIAL HIGHWAY",
            "address_2": "SUITE 134-182",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "602-402-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME144673",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0061967",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-21148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48454",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29002",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "16854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "303365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MMD.36579",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9840",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0175",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.46242",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C170329",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "62804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.