SYLVIA AGNES JACOBS EXUM (MD) – Child & Adolescent Psychiatry Physician, NPI 1114360344
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
541 PSYCHIATRY in TN
Provider Addresses for SYLVIA AGNES JACOBS EXUM (MD)
275 CUMBERLAND BND
NASHVILLE, TN 372281805
Phone: (615) 726-3340
Fax: (615) 743-1679
Type: Location
1078 S WATER AVE
GALLATIN, TN 370663959
Phone: (866) 816-0433
Fax: (615) 743-1679
Type: Location
1010 N MADISON AVE
BAY CITY, MI 487085926
Phone: (989) 895-2300
Type: Location
275 Cumberland Bnd
Nashville, TN 372281805
Phone: (866) 816-0433
Type: Location
1078 S Water Ave
Gallatin, TN 370663959
Phone: (866) 816-0433
Fax: (615) 743-1679
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181006000058 | I | Psychiatry | TN | TBD |
| I20250618001409 | I | Psychiatry | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Occupational Therapist In Private Practice | MI | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
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