Cordova Psychiatric Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CORDOVA PSYCHIATRIC ASSOCIATES

Practice address

993 Cordova Station Ave
Cordova, TN 38018-6317

Phone

(901) 737-4565

Fax

(901) 737-4312

NPI assigned

Nov 18, 2008

Last updated

Sep 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Allen Hesselrode, APNNPI 1164417127

Title

Owner

Phone

(901) 737-4565

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Allen Hesselrode, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
  • NPI 1164417127
  Medicare reassignment Care Compare group NPD Authorized official
• Brandi Wood Beard, APRN, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
  • NPI 1295337756
  Medicare reassignment Care Compare group NPD
• Scot Kenneth Canfield, PHD,APN-BC

  • Nurse Practitioner
  • Cordova, TN
  • NPI 1104989862
  Medicare reassignment Care Compare group NPD
• Renee Mathis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1952919102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1386899300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8289 CORDOVA RD #106",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-737-4565",
            "fax_number": "901-737-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 CORDOVA STATION AVE",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186317",
            "telephone_number": "901-737-4565",
            "fax_number": "901-737-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8289 Cordova Rd #106",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "38016",
            "country_code": "US",
            "telephone_number": "901-737-4565",
            "fax_number": "901-737-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORDOVA PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "HESSELRODE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-737-4565",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "APN0000007462",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordova Internal Medicine, PLLC
• Cordova Medical & Cosmedic Solutions, PC
• Cordova Operating Group LLC
• Cordova Pain Specialists, PLLC (NorthStar Pain Management)
• Cordova Pediatrics PLLC (Monica Wright MD)
• Cordova Senior Living, LLC (Cordova Estates Assisted Living and Memory Care)
• Cordova Vision Center
• Core Ordinates
• Annie Cornell, CCC-SLP
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)

• Community/Behavioral Health Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.