PB Outpatient Services Tennessee, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PB OUTPATIENT SERVICES TENNESSEE, LLC

Doing business as

The Ranch Tennessee

Practice address

6275 Pinewood Rd
Nunnelly, TN 37137-2523

Phone

(931) 729-9728

Fax

(931) 729-9632

NPI assigned

Jul 27, 2018

Last updated

Mar 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott M. Sasserson

Title

Ceo

Phone

(931) 994-8001

Specialties & licenses 2

Addresses

Other names 1

• The Ranch Tennessee Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Edward Fuller, M.D.

  • Psychiatry Physician
  • Nunnelly, TN
  • NPI 1033409438
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1114404530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207816",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207816",
            "telephone_number": "847-329-4100",
            "fax_number": "847-329-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 PINEWOOD RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372523",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372042709",
            "country_code": "US",
            "telephone_number": "629-899-6027",
            "fax_number": "615-358-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2014 A&B Pinewood Road West",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372094",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5166 Highway 48 N",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370554632",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1637 Boyce Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "37137",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Boyce Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372702",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3207 Highway 48 N",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372741",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6107A Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4939 Highway 48 N",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371373755",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6107D Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1636 Boyce Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372702",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "37137",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6745 Pinewood Mansion Ln",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "37137",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Serenity Ln",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "37137",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 Misty Ln",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "TN",
            "postal_code": "370335163",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6107B Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "931-729-9728",
            "fax_number": "931-729-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6107 Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "954-587-7771",
            "fax_number": "954-252-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PB OUTPATIENT SERVICES TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "SASSERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-994-8001"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ranch Tennessee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ranch Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva C Copeland, MS, RDN
• Taylor Dalton
• David a Sack MD TN PC
• Brian Edward Fuller, M.D.
• Jordan McKenzie Osborne, PMHNP-BC
• Rhonda K Rodriguez, APRN, FPMHNP
• The Ranch
• The Ranch on the Piney River, Inc. (The Ranch)

• Substance Abuse Rehabilitation Facility in Nunnelly, TN
• Providers in Nunnelly, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.