Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Panrapee Jesse Mahautmr, MD

Individual provider Psychiatry Physician · NPI 1417302118

Panrapee Jesse Mahautmr, MD is a Psychiatry in Memphis, Tennessee. Qualified in 2016, 10 years ago. Practices with Cookeville Regional Medical Center, a 52-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Georgia, Michigan and Tennessee.

Years since qualifying
10
Licensed in
CA, GA, MI, TN
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone: (901) 226-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 — (404) 727-9934
  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (800) 653-6568
  • 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 — (615) 396-4100

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 62337 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence A171379 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 82423 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4301512827 (MI)

Record details

NPI number1417302118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2016
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cookeville Regional Medical Center — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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