Individual provider Active NPI

Teresa Gates

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1093360851
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000025986 Issued in TN
Practice address
3010 Greystone SQ
Jackson, TN 38305-3589
Phone
(731) 467-5515
NPI assigned
Aug 7, 2019
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000025986 TN
Family Nurse Practitioner 363LF0000X APN0000025986 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000025986 TN Primary
Registered Nurse 163W00000X 0000205421 TN

Addresses

Primary practice location

3010 Greystone SQ
Jackson, TN 38305-3589

Mailing address

272 Commerce Center Cir
Jackson, TN 38301-3233

Other practice location 1

146 Timber Creek Dr Ste 200
Cordova, TN 38018-4474
Phone (901) 751-4112

Other practice location 2

272 Commerce Center Cir
Jackson, TN 38301-3233
Phone (731) 668-3000

Other practice location 3

1004 Greystone Sq
Jackson, TN 38305-3580
Phone (731) 751-4112

Other practice location 4

786 N Germantown Pkwy
Cordova, TN 38018-6212
Phone (901) 755-7696

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812003406 TN Practitioner - Nurse Practitioner 3375947351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

3010 Greystone SQ
Jackson, TN 38305-3589
Phone (731) 467-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000205421TNMDRegistered Nurse
APN0000025986TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Jul 1, 2025 Accepting new patients
River Region Psychiatry Associates LLC PastSince Jul 1, 2025 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

109 Holiday Ct
Ste D10
Franklin, TN 37067
Phone (615) 339-4642

3010 Greystone Sq
Jackson, TN 38305
Phone (731) 467-5515

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1093360851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COMMERCE CENTER CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "731-467-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Timber Creek Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184474",
            "country_code": "US",
            "telephone_number": "901-751-4112",
            "fax_number": "901-751-9878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Commerce Center Cir",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013233",
            "country_code": "US",
            "telephone_number": "731-668-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Greystone Sq",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053580",
            "country_code": "US",
            "telephone_number": "731-751-4112",
            "fax_number": "731-664-1751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 N Germantown Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380186212",
            "country_code": "US",
            "telephone_number": "901-755-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000025986",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000025986",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000025986",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000205421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.