Active NPI
Patty M Marvel, M.D.
- Specialist
- Tullahoma, TN
National Provider Identifier
1174528574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 29709
- Practice address
- 1821 N Washington St
Tullahoma, TN 37388-2221 - Phone
- (931) 455-2005
- Fax
- (931) 455-4450
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 29709 | TN | Primary |
Addresses
Primary practice location
1821 N Washington St
Tullahoma, TN 37388-2221
Mailing address
1821 N Washington St
Tullahoma, TN 37388-2221
Phone (931) 455-2005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3088856 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3820951 | Medicaid | TN |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29709 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174528574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 N WASHINGTON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882221",
"telephone_number": "931-455-2005",
"fax_number": "931-455-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 N WASHINGTON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882221",
"telephone_number": "931-455-2005",
"fax_number": "931-455-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVEL",
"first_name": "PATTY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "29709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3088856",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3820951",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.