Individual provider Active NPI

Phyleen Stewart-Ramage

  • Psychiatry Physician
  • Brentwood, TN
National Provider Identifier
1255463717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
023871 Issued in TN
Practice address
5300 Maryland Way
Suite 101
Brentwood, TN 37027-5074
Phone
(615) 507-2082
NPI assigned
Mar 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 023871 TN Primary

Addresses

Primary practice location

5300 Maryland Way
Suite 101
Brentwood, TN 37027-5074

Mailing address

5300 Maryland Way
Suite 101
Brentwood, TN 37027-5074
Phone (615) 507-2082

Other identifiers 2

IdentifierTypeStateIssuer
106011OtherVALUE OPTIONS
3034267OtherBCBS

Other names 1

  • Phyleen Stewart Ramage Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000155 TN Practitioner - Psychiatry 9537451125 Practice locations: Brentwood, TN

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Vanderbilt University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5341 Virginia Way
Brentwood, TN 37027-7531
Phone (615) 507-2082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023871TNMDPsychiatry Physician
23871TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255463717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MARYLAND WAY",
            "address_2": "SUITE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275074",
            "telephone_number": "615-507-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MARYLAND WAY",
            "address_2": "SUITE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275074",
            "telephone_number": "615-507-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-RAMAGE",
        "first_name": "PHYLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "023871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "106011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3034267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLEEN",
            "last_name": "RAMAGE",
            "middle_name": "STEWART",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.