Joseph Patrick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47085 Issued in TN

Practice address

2569 Douglass Ave
Memphis, TN 38114-2532

Phone

(901) 271-6200

Fax

(901) 271-6249

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of South Carolina School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christ Community Health Services Inc.Group PAC ID 3870402084, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• MS PPO C-SNP
• TN PPO C-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• KY PPO
• MS PPO D-SNP
• KY PPO C-SNP
• AL HMO
• AL HMO D-SNP
• MS PPO

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
• Direct secure messaging: joseph.patrick@christchs.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA
• Direct secure messaging: jpatrick27665@mlh.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1982686614
  Medicare reassignment Care Compare group NPD
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1053572206
  NPD
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1871299297
  NPD
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  NPD (past)
• Christ Community Health Services Inc

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1891837290
  NPD (past)
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1013112119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CENTRAL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045905",
            "telephone_number": "901-260-8551",
            "fax_number": "901-260-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 DOUGLASS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381142532",
            "telephone_number": "901-271-6200",
            "fax_number": "901-271-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47085",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL29777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5425",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297770",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523531",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Chisholm, MD Primary Care
• Patricio a. Ilabaca, MD, PC
• Patrick Kolwaite
• Abigail Kurtz Patrick
• Brett Patrick, M.D.
• Krisana Patrick
• Shelia Denise Patrick, PTA
• Trinade C Patrick, RBT
• Trisha Shea Patrick, APN
• Patrickgrapevine

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.