JIM PANG MD PLLC - NPI 1447620901 - Clinic/Center in Cordova, TN

Q: What is Jim Pang MD PLLC's NPI number?

The NPI number for Jim Pang MD PLLC is 1447620901. It was assigned to this organization in the NPPES registry on September 28, 2015. The provider is doing business as Interventional Psychiatry Group and Jim Pang, Jr., M.D..

Q: What is Jim Pang MD PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jim Pang MD PLLC was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jim Pang Md Pllc NPPES

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

JIM PANG MD PLLC (NPI 1447620901), doing business as Interventional Psychiatry Group, is a healthcare organization registered as a clinic/center in Cordova, Tennessee and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Jennifer Hamilton, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1447620901

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameJIM PANG MD PLLC

Location Address8000 CENTERVIEW PKWY STE 301Cordova, TN 38018-4131

Mailing Address8000 Centerview Pkwy Ste 301Cordova, TN 38018-4131 · (901) 752-4900 · Fax (901) 752-4902

Phone(901) 752-4900

Fax(901) 752-4902

Organization SubpartNo

Authorized OfficialJennifer HamiltonPractice Administrator · (901) 752-4900

Enumeration DateSeptember 28, 2015

Last NPPES UpdateJuly 8, 20256 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1447620901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in TN · 017659

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

8000 CENTERVIEW PKWY STE 301, Cordova, TN 38018

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Other Names 2

Doing Business AsInterventional Psychiatry Group

Doing Business AsJim Pang, Jr., M.d.

Other Identifiers 1

MedicaidQ035474TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2117056

Jim Pang, MD, PLLC · Cordova, TN

Active · expires Apr 5, 2028

CLIA Number44D2117056

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorJennifer K. Hamilton

Laboratory Phone(901) 752-4900

Laboratory LocationJim Pang, MD, PLLC8000 Centerview Parkway, Suite 301, Cordova, TN 38018

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUSAIN ABBAS RAZVI

Counselor (Mental Health)