Individual provider Active NPI

Ronald Cowan, MD

  • Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1912094020
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD34782 Issued in TN
Practice address
920 Madison Ave Ste 200
Memphis, TN 38103-3434
Phone
(901) 448-2400
Fax
(901) 302-2420
NPI assigned
Oct 9, 2006
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD34782 TN Primary

Addresses

Primary practice location

920 Madison Ave Ste 200
Memphis, TN 38103-3434

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864

Other practice location 1

1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone (901) 866-8630

Other identifiers 1

IdentifierTypeStateIssuer
3879580MedicaidTN

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
I20100929001426 TN Practitioner - Psychiatry 5597881300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JS Weill Medical College, Cornell University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

920 Madison Ave
Suite 200
Memphis, TN 38103-3434
Phone (901) 448-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD34782TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Psychiatry CurrentSince Apr 30, 2016 Accepting new patients
Ut Medical Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Ut Medical Group Inc Psychiatry CurrentSince Jul 1, 2020 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

Dept AT 40379
Atlanta, GA 31192

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

1301 Primacy Pkwy
Memphis, TN 38119
Phone (901) 761-3630

920 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-2400

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

Interoperability endpoints

  • Direct secure messaging: ronald.cowan.1@19267.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1912094020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809",
            "telephone_number": "901-866-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033434",
            "telephone_number": "901-448-2400",
            "fax_number": "901-302-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Primacy Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190213",
            "country_code": "US",
            "telephone_number": "901-866-8630",
            "fax_number": "901-302-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD34782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3879580",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.