Provider Demographics
NPI:1871615344
Name:PELMORE, JANET C (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:C
Last Name:PELMORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:601 SITTING MILL CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8615
Mailing Address - Country:US
Mailing Address - Phone:615-668-4702
Mailing Address - Fax:
Practice Address - Street 1:1097 WESTON DR STE 6
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3493
Practice Address - Country:US
Practice Address - Phone:833-432-5987
Practice Address - Fax:615-754-4756
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22187207R00000X, 207RP1001X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF5472Medicare UPIN