JIM PANG MD PLLC
NPI 1447620901
Clinic/Center in Cordova, TN
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
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jim Pang Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Jim Pang MD PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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 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..
Where is Jim Pang MD PLLC located?
Jim Pang MD PLLC is located at 8000 Centerview Pkwy Ste 301, Cordova, TN 38018. The listed phone number is (901) 752-4900.
What is Jim Pang MD PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Jim Pang MD PLLC enrolled in Medicare?
Yes. Jim Pang MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jim Pang MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Jim Pang MD PLLC. 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 (6), Mental Health Counselor (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jim Pang MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2117056) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jim Pang MD PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 4 other insurers list Jim Pang MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jim Pang Md Pllc · NPI 1447620901
Clinic/Center organization in Cordova, Tennessee. Organization record, active in the CMS NPPES registry since September 28, 2015.
## Identity
- **NPI:** 1447620901 (Entity type: Organization)
- **Enumerated:** September 28, 2015
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Interventional Psychiatry Group (Doing Business As); Jim Pang, Jr., M.D. (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Hamilton, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 8000 CENTERVIEW PKWY STE 301, Cordova, TN 38018-4131
- **Phone:** (901) 752-4900 · **Fax:** (901) 752-4902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Mental Health Counselor (3), Clinical Social Worker (1); 2 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
- **Other identifiers:** Medicaid Q035474 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447620901) · Data from the CMS NPPES public registry.