IMIND GERIATRICS AND BEHAVIORAL HEALTH LLC
NPI 1265174775
Nurse Practitioner - Psychiatric/Mental Health in Jackson, TN

Active since April 13, 2022
312 GREENHILL DR, JACKSON, TN 38305(731) 300-0810 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2025, Oct 25, 2022, Apr 13, 2022 (3 updates tracked since 2022).

About Imind Geriatrics And Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMIND GERIATRICS AND BEHAVIORAL HEALTH LLC (NPI 1265174775) is a healthcare organization registered as a psychiatric/mental health in Jackson, Tennessee and active in the NPI registry since April 2022. The organization lists David Cook, Manager, as its authorized official.

NPPES Registry Identity

NPI1265174775
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIMIND GERIATRICS AND BEHAVIORAL HEALTH LLC
Location Address312 GREENHILL DRJackson, TN 38305-5716
Mailing Address65 Murray Guard DrJackson, TN 38305-3628 · (731) 300-0810
Organization SubpartNo
Authorized OfficialDavid CookManager · (731) 267-3154
Enumeration DateApril 13, 2022
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1265174775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
312 GREENHILL DR, Jackson, TN 38305

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imind Geriatrics And Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Imind Geriatrics And Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1063721314
65 MURRAY GUARD DR
Jackson, TN 38305
(731) 363-5584
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1831298587
233 OIL WELL RD SUITE C
Jackson, TN 38305
(731) 660-8467
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1295328342
15 OLD HUMBOLDT RD
Jackson, TN 38305
(731) 256-6456
✔ PECOS2.1 mi
Nurse Practitioner
NPI 1144991431
9195 HIGHWAY 57
Counce, TN 38326
(731) 925-1778
✔ PECOS✔ Accepts Medicare58 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imind Geriatrics And Behavioral Health LLC's NPI number?

The NPI number for Imind Geriatrics And Behavioral Health LLC is 1265174775. It was assigned to this organization in the NPPES registry on April 13, 2022.

Where is Imind Geriatrics And Behavioral Health LLC located?

Imind Geriatrics And Behavioral Health LLC is located at 312 Greenhill Dr, Jackson, TN 38305. The listed phone number is (731) 300-0810.

What is Imind Geriatrics And Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Imind Geriatrics And Behavioral Health LLC enrolled in Medicare?

Yes. Imind Geriatrics And Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imind Geriatrics And Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Imind Geriatrics And Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Imind Geriatrics And Behavioral Health LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.