BLUES CITY PSYCHIATRY, PLLC
NPI 1750696340
Clinic/Center in Cordova, TN
About Blues City Psychiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUES CITY PSYCHIATRY, PLLC (NPI 1750696340), doing business as Blues & Soul Psychiatry, is a healthcare organization registered as a clinic/center in Cordova, Tennessee and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Shubi Adya Shakti, Medical Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blues City Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Blues City Psychiatry, PLLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
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 44D2040629
Blues City Psychiatry 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 Blues City Psychiatry, PLLC's NPI number?
The NPI number for Blues City Psychiatry, PLLC is 1750696340. It was assigned to this organization in the NPPES registry on August 9, 2010. The provider is doing business as Blues & Soul Psychiatry.
Where is Blues City Psychiatry, PLLC located?
Blues City Psychiatry, PLLC is located at 8336 Macon Rd, Cordova, TN 38018. The listed phone number is (901) 682-3035.
What is Blues City Psychiatry, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Blues City Psychiatry, PLLC enrolled in Medicare?
Yes. Blues City Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blues City Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Blues City Psychiatry, 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 (7), Clinical Social Worker (3) and Psychiatry (2). Of these, 9 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Blues City Psychiatry, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2040629) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Blues City Psychiatry, PLLC was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Blues City Psychiatry, Pllc · NPI 1750696340
Clinic/Center organization in Cordova, Tennessee. Organization record, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1750696340 (Entity type: Organization)
- **Enumerated:** August 9, 2010
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Blues & Soul Psychiatry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shubi Shakti, MEDICAL DIRECTOR/OWNER
## Practice location
- **Address:** 8336 MACON RD, Cordova, TN 38018-8554
- **Phone:** (901) 682-3035 · **Fax:** (901) 628-3049
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (3), Psychiatry (2); 9 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1750696340) · Data from the CMS NPPES public registry.