Mark A Patterson Sr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIROO8815 Issued in GA

Practice address

1010 N Tennessee St
Suite 116
Cartersville, GA 30120-8525

Phone

(770) 383-9605

Fax

(770) 383-9606

NPI assigned

May 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Patterson Family Chiropractic Clinic LLC

  • Chiropractor
  • Cartersville, GA
  • NPI 1255629069
  Medicare reassignment NPD Authorized official
• Proctor Clinic PC

  • Chiropractor
  • Cartersville, GA
  • NPI 1609064716
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1144513789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N TENNESSEE ST",
            "address_2": "SUITE 116",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208525",
            "telephone_number": "770-383-9605",
            "fax_number": "770-383-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N TENNESSEE ST",
            "address_2": "SUITE 116",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208525",
            "telephone_number": "770-383-9605",
            "fax_number": "770-383-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROO8815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sejal Jayantilal Patel, NP-C
• Patricia Follette
• Patterson Family Chiropractic Clinic LLC
• Colton Patterson, PA
• Leroy Patterson
• Tammy Patterson
• Mark Alfred William Paun, M.D.
• Kristina Sarber Payne, MA, LPC, NCC
• William R Payne, MD
• Jennifer Payton, RD

• Chiropractor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.