| Psychiatry Group Pllc | |
|
3173 Kirby Whitten Rd #104 Bartlett TN 38134 | |
| (901) 384-8040 | |
| (901) 309-8784 |
| Full Name | Psychiatry Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3173 Kirby Whitten Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Kim Combs (BILLING AND FINANCE) |
| Authorized Official Contact | 9013848040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Group Pllc 3173 Kirby Whitten Rd Ste 104 Bartlett TN 38134-2881 Ph: (901) 384-8040 | Psychiatry Group Pllc 3173 Kirby Whitten Rd #104 Bartlett TN 38134 Ph: (901) 384-8040 |
| NPI Number | 1932204690 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 1456313006 |
|---|---|
| Medicare Enrollment ID | O20041027000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932204690 | NPI | - | NPPES |
| 3719897 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Tennessee) | Primary |
| Provider Name | Anna F Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780791897 PECOS PAC ID: 4880688522 Enrollment ID: I20040414000457 |
| Provider Name | Eric L Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134233745 PECOS PAC ID: 9335135854 Enrollment ID: I20040421001077 |
| Provider Name | Mohammed Taher Al-taher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235107368 PECOS PAC ID: 3779568068 Enrollment ID: I20061128000222 |
| Provider Name | Jami R Woods |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093822108 PECOS PAC ID: 1355303900 Enrollment ID: I20111122000246 |
| Provider Name | David M Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831156744 PECOS PAC ID: 2668416470 Enrollment ID: I20151112000564 |
| Provider Name | Marguerite M Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376503227 PECOS PAC ID: 1456334531 Enrollment ID: I20170715000032 |
| Provider Name | Samantha E Person-aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003331208 PECOS PAC ID: 0143595249 Enrollment ID: I20170928003015 |
| Provider Name | Kimberley J. Hatler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558394395 PECOS PAC ID: 7810252780 Enrollment ID: I20180523002076 |
| Provider Name | Toya Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049977 PECOS PAC ID: 4587058599 Enrollment ID: I20220308000532 |
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