Active NPI
Mitchell Craig Patterson, RPH
- Pharmacist
- Warner Robins, GA
National Provider Identifier
1174144703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 026664
- Practice address
- 4851 Russell Pkwy Ste 100
Warner Robins, GA 31088-9300 - Phone
- (478) 333-6652
- NPI assigned
- May 5, 2020
- Last updated
- May 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 026664 | GA | Primary |
Addresses
Primary practice location
4851 Russell Pkwy Ste 100
Warner Robins, GA 31088-9300
Mailing address
4851 Russell Pkwy Ste 100
Warner Robins, GA 31088-9300
Phone (478) 333-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026664 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & M Endeavors, Inc. | Current | Accepting new patients |
Locations
4851 Russell Pkwy
Ste 100
Warner Robins, GA 31088
Phone (478) 333-6652
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1174144703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 RUSSELL PKWY STE 100",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310889300",
"telephone_number": "478-333-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 RUSSELL PKWY STE 100",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310889300",
"telephone_number": "478-333-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MITCHELL",
"middle_name": "CRAIG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "026664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
- Sagar A Patel, MD
- Tej R Patel, PHARM. D.
- Pathology Institute of Middle Georgia, P.C.
- Pathology Institute of Middle Georgia, P.C.
- Patrick Narh-Martey MD LLC
- Paul R Coplin MD PC (psychiatric health services)
- Cateisha Lanee Paul
- Melissa Kirkland Payne, NP-C
- Peach Care Transportation, LLC
- Peach Home Health Care, Inc. (Hobbs Home Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.