Individual provider Active NPI

Patrick A Williams, MD

  • Radiation Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1164828869
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
60122 Issued in TN
Practice address
1635 Gunbarrel Rd Ste 100
Chattanooga, TN 37421-3126
Phone
(423) 778-8525
Fax
(423) 778-8526
NPI assigned
Nov 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 60122 TN Primary

Addresses

Primary practice location

1635 Gunbarrel Rd Ste 100
Chattanooga, TN 37421-3126

Mailing address

PO Box 440261
Nashville, TN 37244-0261
Phone (615) 329-0570

Other identifiers 1

IdentifierTypeStateIssuer
Q054172MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200123002385 TN Practitioner - Radiation Oncology 6709133085 Reassigns benefits to 2 organizations
I20241014003834 GA Practitioner - Radiation Oncology 6709133085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Mississippi School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525

4750 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (706) 841-8050

605 Glenwood Dr
Suite 100
Chattanooga, TN 37404-1122
Phone (423) 495-6744

605 Glenwood Dr
Suite 200
Chattanooga, TN 37404-1130
Phone (423) 698-1844

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60122TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Mar 5, 2023 Accepting new patients
Tennessee Oncology,PLLC Radiation Oncology CurrentSince Jan 1, 2020 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Jan 1, 2020 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

979 E 3rd St
Ste G15
Chattanooga, TN 37403
Phone (423) 490-9080

1635 Gunbarrel Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 778-8525

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

605 Glenwood Dr
Ste 100
Chattanooga, TN 37404
Phone (423) 495-6744

605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

250 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 320-5090

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1164828869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440261",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440261",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 GUNBARREL RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213126",
            "telephone_number": "423-778-8525",
            "fax_number": "423-778-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-07",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "60122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q054172",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.