Active NPI
Optim258
- Child & Adolescent Psychiatry Physician
- East Germantown, TN
National Provider Identifier
1346155827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- OPTIM258
- Practice address
- 9205 Enclave Green Lane
East Germantown, TN 38139 - Phone
- (901) 262-1476
- NPI assigned
- Aug 18, 2026
- Last updated
- Aug 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annie Naik Gadiparthi, M.D.
- Title
- Co-Owner/ Director
- Phone
- (901) 361-4303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
9205 Enclave Green Lane
East Germantown, TN 38139
Mailing address
9205 Enclave Green Lane E.
Germantown, TN 38139
Phone (901) 262-1476
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1346155827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9205 ENCLAVE GREEN LANE E.",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38139",
"telephone_number": "901-262-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 ENCLAVE GREEN LANE",
"city": "EAST GERMANTOWN",
"state": "TN",
"postal_code": "38139",
"telephone_number": "901-262-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIM258",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "GADIPARTHI",
"authorized_official_first_name": "ANNIE",
"authorized_official_middle_name": "NAIK",
"authorized_official_title_or_position": "CO-OWNER/ DIRECTOR",
"authorized_official_telephone_number": "901-361-4303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.