Panrapee Jesse Mahautmr, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

62337 Issued in TN

Practice address

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Phone

(901) 226-3610

NPI assigned

Apr 30, 2016

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, CA, GA, MI4 enrollments

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 4

Specialty

Psychiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cookeville Regional Medical CenterGroup PAC ID 7810805736, 51 clinicians

Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians

Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

County of HumboldtGroup PAC ID 4082516950, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmahautmr1074078@direct.hfhs.org
• Direct secure messaging: pjessemahautmr3011499@carolinashealthcaresystem.direct-ci.com

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.

• Baptist Memorial Medical Group Inc

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1306089206

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Cookeville Regional Medical Center

  dba Cookeville Regional Physicians

  • Hospitalist Physician
  • Cookeville, TN
  • NPI 1023397031
  Medicare reassignment Care Compare group NPD
• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545
  Medicare reassignment Care Compare group NPD
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment Care Compare group NPD
• County of Humboldt

  • State or Local Public Health Clinic/Center
  • Eureka, CA
  • NPI 1871676213
  Medicare reassignment Care Compare group NPD
• Floyd Physicians, LLC

  dba Atrium Health Floyd Specialty Care

  • Neonatal-Perinatal Medicine Physician
  • Rome, GA
  • NPI 1992814586

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment Care Compare group NPD
• Baptist Memorial Medical Group Inc

  dba BMG East Memphis Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841006129
  NPD
• Cookeville Regional Medical Center

  dba Cookeville Regional Medical Center Inpatient Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Cookeville, TN
  • NPI 1639293483
  NPD
• County of Humboldt

  dba Humboldt County Behavioral Health

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1033300306
  NPD
• County of Humboldt

  • Clinical Medical Laboratory
  • Eureka, CA
  • NPI 1689751687
  NPD
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Medical Center

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  NPD

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

{
    "created_epoch": "1461974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1417302118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "901-226-3186",
            "fax_number": "901-226-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-226-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "404-727-9934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "800-653-6568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292245",
            "country_code": "US",
            "telephone_number": "615-396-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAUTMR",
        "first_name": "PANRAPEE",
        "middle_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-30",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A171379",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "82423",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "62337",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301512827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrigan Grace Magnus, MD
• Reginald Augustus Salazar Magpayo, RPT
• Mahan House
• Lisa J Mahan, MD
• Shivanand Avin Maharaj, M.D.
• Liam Maher
• Michael Anthony Mahfouz Jr., RN
• Mahir R Awdeh MD PC
• Fred Wright Mahler, DPH
• Mahmood 'Tony' Ali, MD (Adult and Adolescent Medicine Clinics, PLLC)

• Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.