Individual provider Active NPI

Ryan Allen Sarsfield, MD

  • Psychiatry Physician
  • Jackson, TN
National Provider Identifier
1508351669
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
66491 Issued in TN
Practice address
238 Summar Dr
Jackson, TN 38301-3906
Phone
(731) 541-8200
Fax
(731) 541-8327
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125.073351 IL
Psychiatry Physician 2084P0800X 66491 TN Primary

Addresses

Primary practice location

238 Summar Dr
Jackson, TN 38301-3906

Mailing address

238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 541-8200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221104001655 TN Practitioner - Psychiatry 9234466434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways of Tennessee IncGroup PAC ID 6507833613, 42 clinicians

Practice addresses (Care Compare)

238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 541-8270

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.073351ILMDPsychiatry Physician
66491TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Tennessee, Inc. CurrentSince Oct 24, 2022 Accepting new patients

Locations

1120 Tammbell St
Brownsville, TN 38012
Phone (731) 541-8344

1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393

238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200

1270 Union University Dr
Ste D
Jackson, TN 38305
Phone (731) 265-6450

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

33 Directors Row
Ste A
Jackson, TN 38305
Phone (731) 541-7605

9550 Highway 412 W
Ste B
Lexington, TN 38351
Phone (731) 968-8197

4039 Highland St
Milan, TN 38358
Phone (731) 660-8755

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

223 S Court St
Tiptonville, TN 38079
Phone (731) 253-7780

930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1508351669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013906",
            "telephone_number": "731-541-8200",
            "fax_number": "731-541-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013906",
            "telephone_number": "731-541-8200",
            "fax_number": "731-541-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSFIELD",
        "first_name": "RYAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125.073351",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "66491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.