Organization Active NPI

Sarath B Gangavarapu MD PC

Doing business as Pinnacle Psychiatric Services

  • Psychiatry Physician
  • Cleveland, TN
National Provider Identifier
1427071380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000016350 Issued in TN
Legal business name
SARATH B GANGAVARAPU MD PC
Doing business as
Pinnacle Psychiatric Services
Practice address
2765 Executive Park Dr NW
Ste 1
Cleveland, TN 37312
Phone
(423) 559-8989
Fax
(423) 559-8984
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarath B Gangavarapu, MDNPI 1194755124
Title
Medical
Phone
(423) 559-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD0000016350 TN Primary

Addresses

Primary practice location

2765 Executive Park Dr NW
Ste 1
Cleveland, TN 37312

Mailing address

PO Box 4816
Cleveland, TN 37320
Phone (423) 559-8989

Other identifiers 1

IdentifierTypeStateIssuer
3732603MedicaidTN

Other names 1

  • Pinnacle Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

2765 Executive Park NW
#1
Cleveland, TN 37312
Phone (423) 559-8989

2765 Executive Park NW
Ste 1
Cleveland, TN 37312
Phone (423) 265-2455

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427071380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4816",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37320",
            "telephone_number": "423-559-8989",
            "fax_number": "423-559-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 EXECUTIVE PARK DR NW",
            "address_2": "STE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-559-8989",
            "fax_number": "423-559-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATH B GANGAVARAPU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANGAVARAPU",
        "authorized_official_first_name": "SARATH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL",
        "authorized_official_telephone_number": "423-559-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000016350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732603",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.