MEDICARE: BLUES CITY PSYCHIATRY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	2084P0800X	Psychiatry Physician	42712	TN

General Provider Information

NPI Number	:	1750696340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUES CITY PSYCHIATRY, PLLC

Provider Business Mailing Address
First Line	:	1138 N GERMANTOWN PKWY
Second Line	:	SUITE 101-110
City	:	CORDOVA
State	:	TN
Zip	:	38016-5872
Country	:	US
Telephone Number	:	901-737-1992
Fax Number	:	901-309-8784

Provider Business Practice Location Address
First Line	:	8336 MACON RD
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-8554
Country	:	US
Telephone Number	:	901-682-3035
Fax Number	:	901-628-3049

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHUBI R MUKATIRA
Credential	:	MD
Telephone Number	:	901-737-1992

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	08/20/2024

Similar Medicare Providers

1215872882 — LASHEA SHAW MSN, APRN, PMHNP-BC
Practice Location Address:

8336 MACON RD
CORDOVA, TN
38018-8554

Practice Phone: 901-682-3035
Practice Fax:

1659458347 — KIMBERLY H RICKELS LCSW
Practice Location Address:

8336 MACON RD
CORDOVA, TN
38018-8554

Practice Phone: 901-682-3035
Practice Fax: 901-682-3047

1497966469 — DR. SHUBI ADYA SHAKTI M.D.
Practice Location Address:

8336 MACON RD
CORDOVA, TN
38018-8554

Practice Phone: 901-682-3035
Practice Fax:

1558868307 — ANNIE CORNELL CCC-SLP
Practice Location Address:

8350 MACON RD
CORDOVA, TN
38018-8554

Practice Phone: 901-614-1902
Practice Fax: 901-614-1902

1376003418 — MRS. ELIZABETH PARKER OKOLI LPC/MHSP
Practice Location Address:

8350 MACON RD
CORDOVA, TN
38018-8554

Practice Phone: 901-614-1902
Practice Fax:

1952991788 — JENNIFER CARMICHAEL
Practice Location Address:

8336 MACON RD
CORDOVA, TN
38018-8554

Practice Phone: 901-682-3035
Practice Fax:

Directions to “BLUES CITY PSYCHIATRY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.