Active NPI
Psychiatry Group PLLC
- Psychiatry Physician
- Bartlett, TN
National Provider Identifier
1932204690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PSYCHIATRY GROUP PLLC
- Practice address
- 3173 Kirby Whitten Rd
#104
Bartlett, TN 38134 - Phone
- (901) 384-8040
- Fax
- (901) 309-8784
- NPI assigned
- Sep 14, 2006
- Last updated
- Nov 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Combs
- Title
- Billing and Finance
- Phone
- (901) 384-8040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TN | Primary |
Addresses
Primary practice location
3173 Kirby Whitten Rd
#104
Bartlett, TN 38134
Mailing address
3173 Kirby Whitten Rd Ste 104
Bartlett, TN 38134-2881
Phone (901) 384-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3719897 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3173 Kirby Whitten Rd
Ste 104
Bartlett, TN 38134
Phone (901) 384-3606
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Psychiatry Physician
- Bartlett, TN
- NPI 1235107368
-
- Cognitive & Behavioral Psychologist
- Bartlett, TN
- NPI 1780791897
-
- Psychiatric/Mental Health Nurse Practitioner
- Bartlett, TN
- NPI 1265049977
-
- Psychiatric/Mental Health Nurse Practitioner
- Bartlett, TN
- NPI 1003331208
-
- Psychiatry Physician
- Bartlett, TN
- NPI 1134233745
-
- Psychiatric/Mental Health Nurse Practitioner
- Bellingham, WA
- NPI 1376503227
TN
-
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1558394395
-
- Psychiatry Physician
- Memphis, TN
- NPI 1831156744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1932204690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3173 KIRBY WHITTEN RD STE 104",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342881",
"telephone_number": "901-384-8040",
"fax_number": "901-888-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3173 KIRBY WHITTEN RD",
"address_2": "#104",
"city": "BARTLETT",
"state": "TN",
"postal_code": "38134",
"telephone_number": "901-384-8040",
"fax_number": "901-309-8784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRY GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "BILLING AND FINANCE",
"authorized_official_telephone_number": "901-384-8040"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3719897",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.