Michael Kavur, D.O.
Individual provider Active NPI Psychiatry Physician · Estill Springs, TN
NPI 1891140919 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1891140919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4773 (TN)
- Practice address
- 416 S Main St
Estill Springs, TN 37330-4037 - Phone
- (931) 649-3408
- NPI assigned
- Apr 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centerstone of Tennessee, Inc.
Practice addresses (Care Compare)
416 S Main St
Estill Springs, TN 37330-4037
Phone (888) 291-4357
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221006000325 | TN | Practitioner - Psychiatry | 4789002338 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Current |
Accepting new patients | |
| Centerstone of Tennessee, Inc. | Current |
Accepting new patients |
Locations
416 S Main St
Estill Springs, TN 37330
Phone (931) 205-3398
1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO197808 | OR | |
| Psychiatry Physician | 2084P0800X | 4773 | TN | Yes |
Addresses
Primary practice location
416 S Main St
Estill Springs, TN 37330-4037
Mailing address
416 S Main St
Estill Springs, TN 37330-4037
Phone (931) 649-3408
Other providers in Estill Springs, TN
- Brianna Hayes
- Robert F Hutto
- Ideal Billing & Professional Services, LLC
- Jennifer Dawn Jackson
- James R Bradford
- Kimberly a Burch
- Sandra Jeanne Langley
- Reya Lee
- Brittany Nicole Lynn
- Lisa Robin Mays
All providers in Estill Springs, TN · Psychiatry Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.