| Interventional Psychiatry Group | |
|
65 Germantown Ct Ste 402 Cordova TN 38018 | |
| (901) 752-4900 | |
| (901) 752-4902 |
| Full Name | Interventional Psychiatry Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 Germantown Ct Ste 402, Cordova, Tennessee |
| Authorized Official Name and Position | Jennifer Hamilton (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9017524900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Psychiatry Group 65 Germantown Ct Ste 402 Cordova TN 38018-4275 Ph: (901) 752-4900 | Interventional Psychiatry Group 65 Germantown Ct Ste 402 Cordova TN 38018 Ph: (901) 752-4900 |
| NPI Number | 1447620901 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 08/16/2023 |
| Medicare PECOS PAC ID | 4688925696 |
|---|---|
| Medicare Enrollment ID | O20181001001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447620901 | NPI | - | NPPES |
| Q035474 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 017659 (Tennessee) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Jim Pang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780690230 PECOS PAC ID: 2769459338 Enrollment ID: I20040913001404 |
| Provider Name | Javina Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295043693 PECOS PAC ID: 0941483929 Enrollment ID: I20110329000577 |
| Provider Name | Shannon Y Pitts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174702849 PECOS PAC ID: 1759550114 Enrollment ID: I20110802000141 |
| Provider Name | Angie D Hicks-master |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255405353 PECOS PAC ID: 5496858110 Enrollment ID: I20130826000960 |
| Provider Name | Nga T Huynh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679716013 PECOS PAC ID: 7911127014 Enrollment ID: I20141010002321 |
| Provider Name | Camillia Haddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043752793 PECOS PAC ID: 9739450263 Enrollment ID: I20170802001262 |
| Provider Name | Amanda Nicola Jackson Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073092185 PECOS PAC ID: 4789929076 Enrollment ID: I20190108003765 |
| Provider Name | Kristin A Fitchpatric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467024307 PECOS PAC ID: 5395136485 Enrollment ID: I20211228001241 |
| Provider Name | Ariel Michelle Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700534310 PECOS PAC ID: 0042698920 Enrollment ID: I20220606000911 |
| Provider Name | Schyler Blake Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184406142 PECOS PAC ID: 8921455775 Enrollment ID: I20231115003316 |
| Provider Name | Melanie Anon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427743657 PECOS PAC ID: 4082058854 Enrollment ID: I20240220003060 |
| Provider Name | Karen Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295500866 PECOS PAC ID: 1759726292 Enrollment ID: I20240223003366 |
Sanitas Medical Center Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2382 N Germantown Pkwy Ste 101, Cordova, TN 38016 Phone: 866-364-8944 Fax: 888-905-2512 | |
Segue Health Partners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 765 Woodland Trace Ln, Cordova, TN 38018 Phone: 901-493-0111 | |
Timber Creek Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Timber Creek Dr, Suite 2, Cordova, TN 38018 Phone: 901-412-1542 | |
Your Wellness Choice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1143 Cully Rd, Cordova, TN 38018 Phone: 901-672-6410 Fax: 901-752-8843 | |
All Day Screening, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Walnut Bend Rd Ste 1, Cordova, TN 38018 Phone: 901-666-2866 Fax: 901-244-7683 | |
Grace Land Recovery Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Timber Creek Dr, Cordova, TN 38018 Phone: 901-519-2655 Fax: 404-698-1497 | |
Internal Medicine Associates Of Cordova, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8066 Walnut Run Rd, Suite 200, Cordova, TN 38018 Phone: 901-757-1200 Fax: 901-756-7010 |