Individual provider Active NPI

Shannon Yvette Pitts, M.D.

  • Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1174702849
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0000046179 Issued in TN
Practice address
6005 Park Ave
Suite 630B
Memphis, TN 38119-5202
Phone
(901) 767-1136
NPI assigned
Oct 30, 2007
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0000046179 TN Primary

Addresses

Primary practice location

6005 Park Ave
Suite 630B
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Suite 630B
Memphis, TN 38119-5202
Phone (901) 767-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110802000141 TN Practitioner - Psychiatry 1759550114 Reassigns benefits to 2 organizations
I20180523000559 MS Practitioner - Psychiatry 1759550114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46179TNMDPharmacist
0000046179TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Parkwood Inc CurrentSince Apr 15, 2018 Accepting new patients
Strong Foundation Behavioral Health Clinic CurrentSince Feb 21, 2024 Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Sep 14, 2020 Accepting new patients
Uhs of Parkwood Inc Psychiatry CurrentSince Apr 15, 2018 Accepting new patients

Locations

8135 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-7102

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

542 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 203-5024

135 W Jackson Ave
Ripley, TN 38063
Phone (901) 403-0480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25874/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1174702849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "SHANNON",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "0000046179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.