STONES RIVER PSYCHIATRY GROUP INC (NPI# 1265709208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265709208 |
| Entity Type | Organization |
| Organization Name | STONES RIVER PSYCHIATRY GROUP INC |
| Other Organization Name | MIDDLE TENNESSEE PSYCHIATRY GROUP INCORPORATED |
| Practice Address |
225 N Willow Ave Ste. 1 Cookeville TN 38501-2335 |
| Practice Telephone | 9313728700 |
| Practice Fax Number | 9313728717 |
| Mailing Telephone | 9313728700 |
| Mailing Fax Number | 9313728717 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | VISWA BHARATHI DURVASULA (M.D.) |
| Authorized Official Telephone | 9313728700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD20037 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Middle Tennessee Psychiatry Group Incorporated | Doing Business As Name - Organization |
| Street Address |
225 N WILLOW AVE STE. 1 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504631 | Karen D Sussman | Nurse Practitioner | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2006-02-01 |
| 1336686617 | Upper Cumberland Rural Health LLC | Pharmacy | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2017-01-25 |
| 1134676091 | Upper Cumberland Medical Associates, Pllc | Clinic/Center | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2016-09-07 |
| 1750769840 | Khoi Tan Nguyen Tran | Family Medicine | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2015-05-11 |
| 1225466758 | Edith Ruchelle Steele | Clinical Nurse Specialist | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2013-10-18 |
| 1508299066 | Scarlett Erica Garland | Registered Nurse | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2013-08-19 |
| 1194066282 | Hillary Mead Jones | Physician Assistant | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2013-03-14 |
| 1427331339 | Cynthia J Folyer | Nurse Practitioner | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2011-09-27 |
| 1962705400 | Linda G Quarles | Nurse Practitioner | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2010-12-06 |
| 1124258314 | Uzma Karim | Family Medicine | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447392527 | Viswa B. Durvasula | Psychiatry & Neurology | 225 North Willow Avenue, Suite Number 1, Cookeville, TN 38501-2335 | 2007-02-13 |
| 1306934419 | Chip Fountain | Psychiatry & Neurology | 2370 Quinland Lake Rd, Suite 110, Cookeville, TN 38506-7519 | 2006-10-11 |
| 1205938446 | Donald R Atkinson | Psychiatry & Neurology | 1200 S Willow Ave, Cookeville, TN 38506-4157 | 2006-09-01 |
| 1083643589 | Stephen T Moore | Psychiatry & Neurology | 1101 Neal St, Suite 102, Cookeville, TN 38501-0917 | 2006-06-30 |
| 1508848169 | Lanny M Leftwich Jr. | Psychiatry & Neurology | 509 N Cedar Ave, Cookeville, TN 38501-1707 | 2005-11-18 |
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| 1396344784 | Core Psychiatry Inc. | Psychiatry & Neurology | 1011 W Poplar Ave Ste 7, Collierville, TN 38017-2577 | 2020-10-18 |
| 1952913345 | Providence Psychiatric Services Pllc | Psychiatry & Neurology | 86 Timber Creek Dr Ste 3, Cordova, TN 38018-4284 | 2020-08-18 |
| 1447883582 | Scout Holdings, LLC | Psychiatry & Neurology | 1535 W Northfield Blvd Ste 3b, Murfreesboro, TN 37129-1474 | 2020-02-18 |
| 1093350159 | Depression Specialists of East Tennessee Inc. | Psychiatry & Neurology | 214 S Peters Rd Ste 102, Knoxville, TN 37923-5229 | 2019-11-13 |
| 1780228619 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 1310 N Roan St, Johnson City, TN 37601-3942 | 2019-11-04 |
| 1669016952 | Smyrna Psychiatry LLC | Psychiatry & Neurology | 713 President Pl Ste A, Smyrna, TN 37167-5652 | 2019-10-30 |
| 1043770233 | Yaniz Seeley | Psychiatry & Neurology | 8226 Rolling Stone Ln, Ooltewah, TN 37363-9077 | 2019-03-22 |
| 1407312010 | John Cain Md | Psychiatry & Neurology | 3111 Braintree Rd, Franklin, TN 37069-6415 | 2019-02-19 |
| 1205300852 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 100, Cordova, TN 38018-4289 | 2019-01-16 |
| 1942785159 | Nashville Brain Institute | Psychiatry & Neurology | 1766 Tyne Blvd, Nashville, TN 37215-4813 | 2018-10-03 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.