Individual provider Active NPI

Adam Nanaa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1225767130
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
31791 Issued in TN
Practice address
8295 Tournament Dr Ste 201
Memphis, TN 38125-8913
Phone
(901) 560-9624
Fax
(901) 257-4679
NPI assigned
Jun 7, 2022
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 31791 TN Primary

Addresses

Primary practice location

8295 Tournament Dr Ste 201
Memphis, TN 38125-8913

Mailing address

8295 Tournament Dr Ste 201
Memphis, TN 38125-8913
Phone (901) 560-9624

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
I20230517000451 TN Practitioner - Nurse Practitioner 3678939634 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31791TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jun 23, 2025 Accepting new patients
Iac Associates PLLC Psychiatric/Mental Health CurrentSince Apr 28, 2024 Accepting new patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince Jun 23, 2025 Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

6060 E Primacy Pkwy
Ste 400
Memphis, TN 38119
Phone (901) 459-4624

6401 Poplar Ave
Ste 500
Memphis, TN 38119
Phone (901) 422-8191

8295 Tournament Dr
Ste 201
Memphis, TN 38125
Phone (901) 560-9624

6101 W Plano Pkwy
Ste 230
Plano, TX 75093
Phone (469) 613-3390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1225767130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8295 TOURNAMENT DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258913",
            "telephone_number": "901-560-9624",
            "fax_number": "901-257-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8295 TOURNAMENT DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258913",
            "telephone_number": "901-560-9624",
            "fax_number": "901-257-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAA",
        "first_name": "ADAM",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "31791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.