Individual provider Active NPI

Zhiqiang Sun, MD

  • Psychiatry Physician
  • Cordova, TN
National Provider Identifier
1316154792
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
44296 Issued in TN
Practice address
65 Germantown CT Ste 210
Cordova, TN 38018
Phone
(901) 756-3888
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 44296 TN Primary

Addresses

Primary practice location

65 Germantown CT Ste 210
Cordova, TN 38018

Mailing address

65 Germantown CT Ste 210
Cordova, TN 38018-4246
Phone (901) 756-3888

Other identifiers 1

IdentifierTypeStateIssuer
Q028282MedicaidTN

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
I20090711000023 TN Practitioner - Psychiatry 1254483829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2965 N Germantown Rd
Suite 116
Bartlett, TN 38133-4055
Phone (901) 756-3888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44296TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Psychiatric Services PLLC Psychiatry CurrentSince Jun 19, 2017 Accepting new patients

Locations

2965 N Germantown Rd
Ste 116
Bartlett, TN 38133
Phone (901) 380-5610

65 Germantown Ct
Ste 210
Cordova, TN 38018
Phone (901) 756-3888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316154792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT STE 210",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184246",
            "telephone_number": "901-756-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT STE 210",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-756-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "ZHIQIANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "44296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028282",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.