Shubi Adya Shakti, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0000042712P Issued in TN

Practice address

8336 Macon Rd
Cordova, TN 38018-8554

Phone

(901) 682-3035

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shubi R Mukatira Former name

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

Specialty

Psychiatry

Education

Indiana University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blues City Psychiatry, PLLCGroup PAC ID 7618001470, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Blues City Psychiatry, PLLC

  • Psychiatry Physician
  • Cordova, TN
  • NPI 1750696340

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Uhs of Lakeside LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1083687651

  Single Specialty

  Medicare reassignment NPD
• Shakti'S Greenhouse LLC

  • Psychiatry Physician
  • Cordova, TN
  • NPI 1629816913
  NPD Authorized official
• Transformation Center for Women LLC

  • Community/Behavioral Health Agency
  • Cordova, TN
  • NPI 1982757316
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1497966469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188554",
            "telephone_number": "901-682-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188554",
            "telephone_number": "901-682-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKTI",
        "first_name": "SHUBI",
        "middle_name": "ADYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "42712",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000042712P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUBI",
            "last_name": "MUKATIRA",
            "middle_name": "R",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tenikki Sesley
• J. Michelle Settle, PHARM.D.
• Deangelo Settles
• Anna Rudemiller Shadid, M.S., CCC-SLP
• Kristen Shadle, OTR/L
• Shakti'S Greenhouse LLC
• Zachary Wayne Shappley
• Sharifa H Winbush DDS PC
• Deidre V Sharp, PHD
• Jacqueline Sharp, DNP-APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.