Individual provider Active NPI

Natasha Mina Nazari

  • Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1194285569
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33064 Issued in MS
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone
(901) 226-3610
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 33064 MS Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

PO Box 405827
Atlanta, GA 30384-5827

Other practice location 1

1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4100

Other practice location 2

146 E Hospital Dr Ste 120A
West Columbia, SC 29169-4800
Phone (803) 936-7460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnazari178507@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MI, MD, TX, TN, WI, MO, SC, KS, MS, GA, AL, AR13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20240423001096 WY Practitioner - Psychiatry 6507192929 Reassigns benefits to 2 organizations
I20240425002838 MI Practitioner - Psychiatry 6507192929 Reassigns benefits to 2 organizations
I20240430000760 MD Practitioner - Psychiatry 6507192929 Reassigns benefits to 1 organization
I20240516001473 TX Practitioner - Psychiatry 6507192929 Reassigns benefits to 1 organization
I20240529004165 TN Practitioner - Psychiatry 6507192929 Reassigns benefits to 4 organizations
I20240604002341 WI Practitioner - Psychiatry 6507192929 Reassigns benefits to 1 organization
I20240827000991 MO Practitioner - Psychiatry 6507192929 Reassigns benefits to 3 organizations
I20240926004395 SC Practitioner - Psychiatry 6507192929 Reassigns benefits to 1 organization
I20241016000702 KS Practitioner - Psychiatry 6507192929 Reassigns benefits to 1 organization
I20241206000971 MS Practitioner - Psychiatry 6507192929 Reassigns benefits to 2 organizations
I20250107000306 GA Practitioner - Psychiatry 6507192929 Reassigns benefits to 2 organizations
I20250110000048 AL Practitioner - Psychiatry 6507192929
I20250728003908 AR Practitioner - Psychiatry 6507192929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4048WIMDGeneral Practice Dentistry
91913SCMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince May 22, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Apr 4, 2024 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2024 Accepting new patients
Henry Ford Health System Current Accepting new patients
Saint Francis Medical Center CurrentSince Jul 31, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 1, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jan 23, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 1, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Salem Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jan 23, 2025 Accepting new patients
St Agnes Healthcare Inc CurrentSince May 20, 2024 Accepting new patients
Cookeville Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Community Mental Health Services of St Joseph County CurrentSince Nov 19, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Apr 4, 2024 Accepting new patients
Henry Ford Health System CurrentSince Apr 1, 2024 Accepting new patients
Cookeville Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Salem Memorial Hospital Current Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Lexington Health Inc Current Accepting new patients
St Agnes Healthcare Inc Psychiatry CurrentSince May 20, 2024 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2024 Accepting new patients
Baptist Memorial Medical Group Inc Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jan 1, 2025 Accepting new patients
Lexington Health Inc Psychiatry CurrentSince Sep 15, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Jul 31, 2024 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Sep 15, 2024 Accepting new patients
Henry Ford Health System Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations (25 of 36)

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3585 Washington Blvd
Halethorpe, MD 21227

677 E Main St
Centreville, MI 49032
Phone (269) 467-1001

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

35629 Highway 72
Bldg 3
Salem, MO 65560
Phone (573) 729-8000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

146 E Hospital Dr
Ste 120A
West Columbia, SC 29169
Phone (803) 936-7076

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

Interoperability endpoints

  • Direct secure messaging: nnazari1014744@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 35

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 35

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1194285569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-226-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292245",
            "country_code": "US",
            "telephone_number": "615-396-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 E Hospital Dr Ste 120A",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZARI",
        "first_name": "NATASHA",
        "middle_name": "MINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "33064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnazari178507@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 120A",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.